Credentialing / Enrollment Lead

Nourish
New York
Workplace: RemoteFull timeFunction: Administration & Executive AssistanceExperience: 5-9 yearsSkills: ["Leadership","Written communication","Verbal communication","Quality/compliance focus","Problem-solving"]

Own day-to-day execution for Nourish’s New Bets Credentialing or Enrollments pod, translating credentialing strategy into an operating plan. Lead and scale a team of associates, manage virtual-assistant capacity, and run complex payer enrollments and credentialing workflows across multiple provider types. Maintain audit-ready SOPs and quality controls, use metrics to manage capacity and risk, and partner cross-functionally to improve tooling, automation, and provider experience.

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FursaFursa
Nourish
Nourish
4 days ago

Credentialing / Enrollment Lead

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Last checked: 10 hours agoStatus: Live

Job Summary

Own day-to-day execution for Nourish’s New Bets Credentialing or Enrollments pod, translating credentialing strategy into an operating plan. Lead and scale a team of associates, manage virtual-assistant capacity, and run complex payer enrollments and credentialing workflows across multiple provider types. Maintain audit-ready SOPs and quality controls, use metrics to manage capacity and risk, and partner cross-functionally to improve tooling, automation, and provider experience.
Location: New York
Workplace: Remote
Employment Type: Full time
Job Function: Administration & Executive Assistance
Seniority: Manager level

Key Responsibilities

  • •Develop and lead a pod of credentialing/enrollment associates, including prioritization, ownership, deadline setting, quality review, and accountability for outcomes.
  • •Direct virtual-assistant capacity for the pod, including work allocation, training, quality assurance, and performance monitoring.
  • •Own credentialing programs end to end, including payer enrollments and workflows for credentialing Medical Doctors, Nurse Practitioners, and Therapists.
  • •Build and maintain SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records.
  • •Use metrics to manage capacity, throughput, timeliness, quality, provider experience, and execution risk; drive practical improvement plans.

Key Requirements

  • •~5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a related field.
  • •Strong credentialing domain depth across payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, or accreditation workflows.
  • •Proven people-leadership experience setting priorities, directing work, giving feedback, managing performance, and developing team members.
  • •Owned complex operational programs with rigorous quality, compliance, documentation, and deadline requirements.
  • •Metrics-driven approach to manage capacity, throughput, quality, timeliness, and execution risk.
Experience:5-9 yearsHealthcareDigital healthProvider operations
Skills:LeadershipWritten communicationVerbal communicationQuality/compliance focusProblem-solving
Languages:English

Company Brief

Nourish
Nourish provides a benefits platform that helps employers deliver personalized total rewards, including wellbeing, financial, and family benefits via a digital marketplace and concierge support to improve employee health, retention, and engagement.
Industry: HR Tech
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