IndustryHealthcare Technology / Practice OperationsWork Arrangement100% Remote — must overlap with 9:00 AM – 5:00 PM Pacific Time, Monday–FridayJob TypeFull-timeWork ScheduleMonday–Friday, 9:00 AM – 5:00 PM Pacific TimeLocations:Philippines, Latin America, South Africa, Anywhere Remote (Pacific Time availability required)About Pearl TalentPearl 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 HEREWhy 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 CompanyOur 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 OverviewThe 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.Adecuado 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 statesReduce time-to-launch by proactively identifying and resolving credentialing blockersMaintain accurate master tracking systems and communicate updates proactivelySupport expansion into new states and payer relationshipsContribute to building scalable processes and documentation for the credentialing functionCore ResponsibilitiesProvider Credentialing — 35%Manage end-to-end credentialing and recredentialing of Nurse Practitioners with commercial, Medicare, and MedicaidpayersPrepare and submit applications via CAQH, PECOS, Availity, and payer-specific portalsTrack application status and proactively follow up with payers to accelerate approvalsIdentify and escalate credentialing blockers to leadership before they impact launch datesMaintain CAQH revalidation and ensure provider profile accuracyPayer Enrollment — 30%Prepare and submit group-level enrollment and contracting materials for new marketsEnroll providers under existing group contracts, ensuring correct payer attachmentCoordinate provider additions, location changes, and tax ID updates across payersOperational Tracking & Reporting — 20%Maintain master credentialing tracker in Google Sheets with accurate, current dataCommunicate credentialing timelines and blockers proactively via SlackPrioritize workflows based on provider launch datesPayer Contracting Support — 10%Support onboarding of providers under group payer contractsAssist with document collection, submission,



and record-keepingMaintain organized records of payer contracts and related documentationSOP Development & Cross-Functional Coordination — 5%Build SOPs and call scripts for payer communication from scratchServe as internal point of contact for credentialing and enrollment questionsCoordinate with in-house billing team to align on claim flags and provider statusMust-Haves (Required)3+ years experience in provider credentialing, payer enrollment, or payer contractingExperience across at least 3 US statesExperience credentialing Nurse PractitionersHands-on experience with group contract enrollmentProficiency with CAQH, PECOS, Availity, and payer portalsStrong spoken English — comfortable making payer phone callsHighly organized with ability to manage multiple workflows simultaneouslySelf-directed and proactive; able to escalate blockers and suggest solutionsNice-to-Haves (Preferred)Experience in Arizona, Washington, Oregon, Colorado, Utah, Minnesota, or NevadaFamiliarity with delegated credentialing processesBackground in primary care or Nurse Practitioner-specific credentialingExperience in startup, MSO, or provider network environmentsExperience building SOPs or process documentationTools ProficiencyMust-Haves (Required)CAQH, PECOS, Availity, payer-specific portals, Google Sheets, Slack, NotionNice-to-Haves (Preferred)Credentialing management software or platforms (open to recommending tools)Competitive Salary:Based on experience and skillsRemote Work:Fully remote—work from anywherePerformance Bonus:Based on data accuracy, reporting timeliness, and overall sales efficiencyTeam Incentives:Recognition for maintaining 100% CRM hygiene and on-time reportingGenerous PTO:In accordance with company policyHealth Coverage for PH-based talents:HMO coverage after 3 months for full-time employeesDirect Mentorship:Guidance from international industry expertsLearning & Development:Ongoing access to resources for professional growthGlobal Networking:Connect with professionals worldwideOur Recruitment ProcessApplicationScreeningSkills AssessmentTop-grading InterviewClient InterviewJob OfferClient OnboardingReady to Join Us?

📌 Contracting & Credentialing Specialist (Healthcare Technology) (El Salto)
🏢 Pearl
📍 El Salto