Remote Credentialing & Payer Operations Lead

Nadia Care; United States; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Time off program

Medical insurance

Dental insurance

Vision insurance

Stock options

Disability insurance

401(k) plan

Job summary

Nadia Care seeks a Credentialing & Payer Operations Manager for remote work in the United States to own end-to-end provider licensing, enrollment, and credentialing operations. The role requires building scalable internal processes, ensuring regulatory compliance, and driving fast time-to-credentialing metrics.

Initially, you will operate as a one-person team, serving as the bridge between providers, health plans, billing, and client success teams while establishing foundational workflows.

Qualifications

• 5+ years of healthcare credentialing, provider operations, and payer enrollment experience.
• Experience submitting initial state licensure applications across multiple states and tracking CEU requirements.
• Bachelor’s degree in Healthcare Administration, Business, or related field.
• Hands-on experience with Medallion (or similar credentialing tracking platforms).

Responsibilities

• Manage full lifecycle licensing, credentialing, and re-credentialing applications for all Care Team members across multiple states.
• Build and execute Doula Readiness workflows to onboard non-traditional care providers into payer networks.
• Collect, audit, and verify primary source documentation required for payor and state credentialing packages.
• Directly communicate with providers to gather missing documentation and guide renewal procedures.

Skills

Healthcare credentialing

Payer enrollment

Provider operations

Regulatory compliance

Medallion platform

Education

Bachelor’s degree in healthcare admin

Tools

Medallion

Job description

Nadia Care seeks a Credentialing & Payer Operations Manager for remote work in the United States to own end-to-end provider licensing, enrollment, and credentialing operations. The role requires building scalable internal processes, ensuring regulatory compliance, and driving fast time-to-credentialing metrics.

Initially, you will operate as a one-person team, serving as the bridge between providers, health plans, billing, and client success teams while establishing foundational workflows.