Payer Relations & Credentialing Specialist

Curis-Functional-Health-3; Farmers Branch (TX); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Referral program

Growth opportunities within a rapidly扩

Job summary

Curis Functional Health is a Dallas-based healthcare organization transforming patient care with a multidisciplinary model. We seek a Payer Relations & Credentialing Specialist to manage end-to-end credentialing, enrollment, and payer relations across multiple states.

You will build relationships with major payers such as BCBS, UnitedHealthcare, Aetna, Cigna, and Medicare, driving efficient enrollment and reimbursement initiatives.

Qualifications

• 5+ years of experience in provider credentialing, payer enrollment, payer relations, revenue cycle operations, or related healthcare field.

Responsibilities

• Manage payer relations, contracting, credentialing, and payer enrollment activities across the organization.
• Establish and maintain relationships with national and regional payers (e.g., BCBS, UnitedHealthcare, Aetna, Cigna, Medicare).
• Support expansion into new markets by identifying payer participation opportunities.
• Identify opportunities to improve reimbursement through fee schedule optimization and contract renegotiation.
• Monitor payer policies, reimbursement trends, contract requirements, and market developments.
• Research payer requirements and market dynamics to support decisions.
• Escalate and resolve payer-related issues impacting participation or operations.
• Manage full provider credentialing, enrollment, recredentialing, and lifecycle across multiple states.
• Ensure provider applications are complete and submitted timely.
• Monitor enrollment status, deadlines, expirations, and recredentialing requirements.
• Maintain credentialing records, documentation, and reporting.
• Oversee credentialing software platforms and workflows.
• Manage provider information within CAQH and other systems.
• Coordinate with providers and internal teams to resolve issues.
• Identify enrollment delays and address deficiencies proactively.
• Develop credentialing policies, workflows, and performance metrics.
• Improve credentialing turnaround times and reduce delays.
• Maintain understanding of multi-state credentialing requirements and regulatory changes.
• Support accurate reporting and tracking of credentialing performance.
• Identify operational risks and provide improvements.
• Support delegated credentialing initiatives and ensure compliance.
• Support growth by ensuring payer participation for new openings.

Skills

Payer relations

Credentialing

Payer enrollment

CAQH

Contracting

Multi-state operations

Communication

Job description

Curis Functional Health is a fast-growing, Dallas-based healthcare organization transforming the way patients receive care through a multidisciplinary functional healthcare model. Our clinics integratechiropractic care, mental health, nutrition, and women’s health servicesto provide comprehensive, whole-person care.

With50+ clinics across multiple states, Curis is committed to helping patients heal and thrive while building a scalable healthcare organization focused on quality, innovation, and exceptional patient experiences. Recognized on theInc. 5000and among theTop 50 Fastest Growing Companies in the Dallas/Fort Worth area, we are continuing to expand and are looking for talented professionals to grow with us.

Position Overview

Curis Functional Health is seeking an experiencedPayer Relations & Credentialing Specialistto support payer relations, provider credentialing, contracting, enrollment, and reimbursement initiatives across our growing organization.

This role will be responsible for managing the end-to-end credentialing and payer enrollment process while also developing strong relationships with commercial and government payers. The ideal candidate will have a strong understanding of healthcare payer requirements, provider enrollment, credentialing processes, reimbursement methodologies, and multi-state payer operations.

This is an excellent opportunity for a highly organized, analytical, and relationship-focused professional who enjoys working in a fast-paced environment and wants to play a meaningful role in supporting healthcare expansion.

Key ResponsibilitiesPayer Relations & Contracting

• Manage payer relations, contracting, credentialing, and payer enrollment activities across the organization.


• Establish and maintain strong relationships with national and regional payers, includingBCBS, UnitedHealthcare, Aetna, Cigna, Medicare, and other commercial and government payers.


• Support Curis' expansion into new markets and states by identifying and coordinating payer participation opportunities.


• Identify opportunities to improve reimbursement through fee schedule optimization, contract renegotiation, network expansion, and value-based initiatives.


• Monitor payer policies, reimbursement trends, contract requirements, and market developments.


• Research and evaluate payer requirements and market dynamics to support organizational decision-making.


• Escalate and resolve payer-related issues that may impact provider participation, reimbursement, or clinic operations.

Provider Credentialing & Enrollment

• Manage the full provider credentialing, enrollment, recredentialing, and credential maintenance lifecycle across multiple states.


• Ensure provider applications and enrollment materials are complete, accurate, and submitted within required timelines.


• Monitor enrollment status, payer deadlines, expirations, and recredentialing requirements.


• Maintain accurate credentialing records, documentation, and reporting.


• Oversee credentialing software platforms and related workflows.


• Manage and maintain provider information withinCAQHand other payer enrollment systems.


• Coordinate with providers and internal teams to obtain required documentation and resolve credentialing issues.


• Identify and address enrollment delays or deficiencies proactively.

Process Improvement & Compliance

• Develop and implement credentialing policies, workflows, procedures, and performance metrics.


• Improve credentialing turnaround times and reduce enrollment delays through standardized and scalable processes.


• Maintain a strong understanding of multi-state credentialing requirements, payer policies, reimbursement methodologies, and regulatory changes.


• Support accurate reporting and tracking of credentialing and payer enrollment performance.


• Identify operational risks and recommend solutions to improve payer and credentialing processes.


• Support delegated credentialing initiatives and ensure processes align with applicable payer and compliance requirements.

Growth & Cross-Functional Support

• Support new clinic openings and market expansions by ensuring payer participation and provider enrollment readiness.


• Partner with theRevenue Cycle Director and Compliance Officeron payer strategy, credentialing compliance, delegated credentialing, and payer alignment initiatives.


• Collaborate with providers, clinic leadership, revenue cycle, operations, compliance, and other internal teams to ensure smooth payer participation.


• Provide leadership with insights into credentialing performance, payer trends, enrollment risks, and opportunities for improvement.


• Contribute to scalable processes that can support Curis as the organization continues to grow across multiple states.

Qualifications & Skills

• 5+ years of experiencein provider credentialing, payer enrollment, payer relations, healthcare contracting, revenue cycle operations, or a related healthcare field.


• Experience working directly with commercial and government payers preferred.


• Experience working with healthcare organizations, credentialing vendors, or delegated credentialing environments preferred.


• Strong understanding of provider credentialing, payer enrollment, contracting, reimbursement methodologies, and multi-state payer requirements.


• Working knowledge ofCAQHand payer enrollment systems.


• Ability to analyze reimbursement trends, fee schedules, payer policies, and market benchmarks.


• Strong interpersonal and relationship-building skills with the ability to communicate professionally with payers, providers, leadership, and cross-functional teams.


• Excellent written and verbal communication skills.


• Strong organizational and time-management skills with exceptional attention to detail.


• Ability to manage multiple projects, providers, payers, and deadlines simultaneously.


• Strong problem-solving and analytical abilities.


• Strategic mindset with the ability to connect credentialing and payer operations to broader organizational growth initiatives.


• Ability to work independently while collaborating effectively with a fast-paced, multi-site team.


• Experience in a growing healthcare organization is a plus.

Why Join Curis Functional Health?

At Curis, you will have the opportunity to make a direct impact on the growth and success of a rapidly expanding healthcare organization. Your work will help ensure our providers are properly credentialed, our clinics are connected to the right payer networks, and our patients have access to the care they need.

You’ll join asupportive, high-performing teamthat values quality, innovation, collaboration, and personal growth while helping shape the future of whole-person healthcare.

Benefits

• Health insurance


• Paid time off


• Referral program


• Growth opportunities within a rapidly expanding healthcare organization

Benefits:

• Health insurance


• Paid time off


• Referral program

Work Location: In person

Equal Employment Opportunity

Curis Functional Health is an equal opportunity employer. We provide equal employment opportunities to all employees and applicants and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status