sprinter-health - Credentialing & Payor Enrollment Analyst
Requirements
• 5+ years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations • Experience with creating and maintaining CAQH accounts • Strong attention to detail and proven ability to manage complex, document-heavy workflows • Excellent organizational and time-management skills with the ability to manage multiple providers and deadlines • Clear, structured written and verbal communication skills • Experience working in a startup, growth-stage, or fast-paced healthcare environment • Experience in credentialing and enrolling advanced practice providers and/or physicians • Familiarity with commercial, Medicare, and Medicaid payors • Experience supporting provider onboarding at scale or in high-growth organizations • Experience with credentialing and enrollment platforms, payer portals, or compliance tracking tools • You take ownership and see work through from start to finish • You’re proactive about identifying risks and solving problems before they escalate • You’re comfortable building structure where processes are still evolving • You balance speed with accuracy and understand when each matters most • You communicate clearly, professionally, and consistently
Responsibilities
• Provider Onboarding & Credentialing • Own the end-to-end onboarding of new providers, from offer acceptance through readiness to practice, and the recredentialing of legacy providers to maintain compliance and continued practice • Collect, review, and verify documentation, including education, training, work history, certifications, and malpractice coverage • Prepare and submit enrollment applications to payors and other required entities • Track application status, follow up proactively, and resolve deficiencies to prevent onboarding delays • Licensing & Regulatory Compliance • Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions • Maintain up-to-date knowledge of state-specific licensing requirements and timelines • Monitor license expirations, renewals, and compliance deadlines to ensure uninterrupted provider eligibility • Communicate with state boards and regulatory agencies to address questions, requests, or discrepancies • Payor Enrollment • Submit new payor enrollment and re-enrollment applications with commercial, Medicare, and Medicaid payors • Complete and submit payor-specific forms, attestations, and updates related to provider status changes • Prepare and submit payor rosters in accordance with payor requirements and timelines • Track enrollment progress and escalate risks that may impact billing or reimbursement • Process Ownership & Communication • Maintain accurate, organized credentialing, licensing, and enrollment records in internal systems • Communicate timelines, status updates, and risks clearly to internal stakeholders and providers • Use structured workflows, checklists, and documentation standards to manage high-volume work • Identify inefficiencies or recurring issues and recommend process improvements to support scale
Benefits
• This role enables providers to deliver care and ensures the organization can bill and receive reimbursement without disruption. Your work will directly impact provider experience, operational efficiency, and the company’s ability to scale responsibly. • Fully remote work environment • Medical, dental, and vision plans 100% paid for you and your dependents • Flexible PTO + 11 paid holidays per year • 401(k) with company match • 16-week parental leave policy for birthing parent, 8 weeks for all other parents • HSA + FSA contributions • Life insurance, plus short and long-term disability coverage
Apply in one click
Upload My Resume
Drop here or click to browse · Tap to choose · PDF, DOCX, DOC, RTF, TXT