Remote Payer Enrollment & Credentialing Specialist

Oshi Health; United States; Remote; USD 65,000 - 70,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k)

Remote-first work model

Job summary

Oshi Health is seeking a Payer Enrollment Specialist to manage end-to-end enrollment, revalidations, and credentialing for providers across commercial, Medicare, and Medicaid plans. You will coordinate with internal teams to keep data accurate and ensure timely participation.

The role emphasizes compliance with NCQA, CMS, and payer requirements, with a remote-first work model and state-specific eligibility.

Qualifications

• Bachelor’s degree in healthcare administration or related field.
• 3+ years in provider payer enrollment and credentialing.
• Experience with commercial, Medicare, and Medicaid enrollments.
• Knowledge of CAQH, payer portals, and credentialing systems.
• Strong organizational skills with multitasking ability.
• Proficiency with Google Workspace including Sheets.

Responsibilities

• Own end-to-end payer enrollment process for new and existing providers across plans.
• Submit, track and follow up on enrollment applications to enable timely participation.
• Serve as primary contact with health plans and external partners to resolve issues.
• Maintain provider data across portals and internal systems with consistency.
• Support delegated credentialing activities and audit preparation.
• Monitor enrollment/credentialing metrics and report status to leadership.
• Collaborate with Licensing, Practice Operations, Revenue Cycle, Recruiting, and Clinical Operations.
• Support provider licensing activities including new state licenses and renewals.

Skills

Payer enrollment

Credentialing

Multi-state familiarity

Communication skills

Google Workspace

Education

Bachelor’s Degree in Healthcare administration or related field

Tools

CAQH

Payer portals

Credentialing systems

Job description

Oshi Health is seeking a Payer Enrollment Specialist to manage end-to-end enrollment, revalidations, and credentialing for providers across commercial, Medicare, and Medicaid plans. You will coordinate with internal teams to keep data accurate and ensure timely participation.

The role emphasizes compliance with NCQA, CMS, and payer requirements, with a remote-first work model and state-specific eligibility.