Lead, Telehealth Credentialing & Enrollment

Mira Mace; United States; Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Meaningful early equity

High ownership in strategic decisions

Impact on healthcare delivery

Job summary

A telehealth navigation company is seeking a Credentialing & Enrollment Lead to own the multi-state provider enrollment strategy. This role will directly impact payer relationships and enrollment operations. Ideal candidates will have experience in multi-state telehealth credentialing and knowledge of CAQH and PECOS. The position offers high ownership and the opportunity to make a meaningful difference in healthcare by serving Medicare Advantage and Medicaid patients. We're looking for someone who can thrive in a small, dynamic team.

Qualifications

• You’ve done multi-state telehealth credentialing before.
• You understand PC-MSO structures and how they affect payer enrollment.
• You’ve worked with Medicare Advantage payers and state Medicaid programs directly.
• You know CAQH, PECOS, and state Medicaid portals inside and out.
• You’ve dealt with payer contracting after credentialing.
• You can operate independently and bring the answers.
• You're comfortable in a small, fast-moving team.

Responsibilities

• Own provider enrollment end-to-end across multiple states.
• Lead credentialing strategy with CAQH, PECOS, and state portals.
• Navigate payer contracting and understand fee schedules.
• Document processes for enrollment efficiency.
• Troubleshoot stalled applications and resolve issues.
• Advise on structures affecting enrollment.

Skills

Multi-state telehealth credentialing

Understanding of PC-MSO structures

Experience with Medicare Advantage payers

Knowledge of CAQH and PECOS

Payer contracting experience

Ability to operate independently

Comfort in fast-moving team environments

Job description

A telehealth navigation company is seeking a Credentialing & Enrollment Lead to own the multi-state provider enrollment strategy. This role will directly impact payer relationships and enrollment operations. Ideal candidates will have experience in multi-state telehealth credentialing and knowledge of CAQH and PECOS. The position offers high ownership and the opportunity to make a meaningful difference in healthcare by serving Medicare Advantage and Medicaid patients. We're looking for someone who can thrive in a small, dynamic team.