Contracting & credentialing specialist (healthcare technology) - a338 (Durango)

Contracting & credentialing specialist (healthcare technology) - a338 (Durango)

28 ago
|
Pearl
|
Durango

28 ago

Pearl

Durango

Industry
Healthcare Technology / Practice Operations Work Arrangement
100% Remote — must overlap with 9:00 AM – 5:00 PM Pacific Time, Monday–Friday Job Type
Full-time Work Schedule
Monday–Friday, 9:00 AM – 5:00 PM Pacific Time Locations:
Philippines, Latin America, South Africa, Anywhere Remote (Pacific Time availability required)
About Pearl Talent
Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5 B in aggregate and are backed by companies like Open AI, a16z, and Founders Fund. They’re looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we’ve hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US. Hear why we exist, what we believe in, and who we’re building for: WATCH HERE
Why Work with Us? At Pearl, we’re not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, be challenged, and build long-term, meaningful careers.
About the Company Our client is a rapidly growing healthcare technology company enabling Nurse Practitioners to launch and operate independent primary care practices. Their platform handles operational infrastructure, including credentialing and insurance billing, allowing providers to focus on patient care.
Role Overview
The Contracting & Credentialing Specialist owns end-to-end provider credentialing and payer enrollment across multiple US states. You will manage credentialing pipelines, group contract enrollment, and payer communications, ensuring providers launch on time. This is a highly autonomous, execution-heavy role where you proactively identify blockers, escalate when necessary, and build SOPs from scratch. Ideal candidates thrive in fast-paced, high-growth environments, think like owners, and can operate independently without detailed instructions.
Your Impact:




Ensure timely provider launches by managing credentialing and enrollment pipelines across multiple states Reduce time-to-launch by proactively identifying and resolving credentialing blockers Maintain accurate master tracking systems and communicate updates proactively Support expansion into new states and payer relationships Contribute to building scalable processes and documentation for the credentialing function
Core Responsibilities
Provider Credentialing — 35% Manage end-to-end credentialing and recredentialing of Nurse Practitioners with commercial, Medicare, and Medicaid
payers Prepare and submit applications via CAQH, PECOS, Availity, and payer-specific portals Track application status and proactively follow up with payers to accelerate approvals Identify and escalate credentialing blockers to leadership before they impact launch dates Maintain CAQH revalidation and ensure provider profile accuracy Payer Enrollment — 30% Prepare and submit group-level enrollment and contracting materials for new markets Enroll providers under existing group contracts, ensuring correct payer attachment Coordinate provider additions, location changes, and tax ID updates across payers Operational Tracking & Reporting — 20% Maintain master credentialing tracker in Google Sheets with accurate, current data Communicate credentialing timelines and blockers proactively via Slack Prioritize workflows based on provider launch dates Payer Contracting Support — 10% Support onboarding of providers under group payer contracts Assist with document collection, submission,



and record-keeping Maintain organized records of payer contracts and related documentation SOP Development & Cross-Functional Coordination — 5% Build SOPs and call scripts for payer communication from scratch Serve as internal point of contact for credentialing and enrollment questions Coordinate with in-house billing team to align on claim flags and provider status Must-Haves (Required)
3+ years experience in provider credentialing, payer enrollment, or payer contracting Experience across at least 3 US states Experience credentialing Nurse Practitioners Hands-on experience with group contract enrollment Proficiency with CAQH, PECOS, Availity, and payer portals Strong spoken English — comfortable making payer phone calls Highly organized with ability to manage multiple workflows simultaneously Self-directed and proactive; able to escalate blockers and suggest solutions Nice-to-Haves (Preferred)
Experience in Arizona, Washington, Oregon, Colorado, Utah, Minnesota, or Nevada Familiarity with delegated credentialing processes Background in primary care or Nurse Practitioner-specific credentialing Experience in startup, MSO, or provider network environments Experience building SOPs or process documentation
Tools Proficiency
Must-Haves (Required)
CAQH, PECOS, Availity, payer-specific portals, Google Sheets, Slack, Notion Nice-to-Haves (Preferred)
Credentialing management software or platforms (open to recommending tools) Competitive Salary:
Based on experience and skills Remote Work:
Fully remote—work from anywhere Performance Bonus:
Based on data accuracy, reporting timeliness, and overall sales efficiency Team Incentives:
Recognition for maintaining 100% CRM hygiene and on-time reporting Generous PTO:
In accordance with company policy Health Coverage for PH-based talents:
HMO coverage after 3 months for full-time employees Direct Mentorship:
Guidance from international industry experts Learning & Development:
Ongoing access to resources for professional growth General Networking:
Connect with professionals worldwide
Our Recruitment Process
Application Screening Skills Assessment Top-grading Interview Client Interview Job Offer Client Onboarding
Ready to Join Us?

📌 Contracting & credentialing specialist (healthcare technology) - a338 (Durango)
🏢 Pearl
📍 Durango

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