[Hiring] Credentialing Operations Specialist @Spring Health

Role Description

Reporting to the Enrollment Manager and partnering closely with our Credentialing, Onboarding, and Claims teams, the Enrollment Specialist will own how our clinicians are enrolled with health plans and kept accurately listed on plan rosters. Your work determines when a clinician can start seeing members under a plan and whether they are paid correctly afterward. This is a full-time position that is fully remote. Travel is not required.

• Submit and track clinician enrollment requests with multiple health plans, following each plan's specific requirements and timelines.
• Build, quality-check, and submit recurring clinician rosters to health plans in Google Sheets and Excel.
• Reconcile roster and enrollment records across internal systems and plan-provided files using advanced spreadsheet techniques.
• Process clinician requests to add or remove a health plan or a state license.
• Manage clinician terminations and plan unenrollments.
• Monitor enrollment status and turnaround times, and escalate delays and risks.
• Communicate with clinicians and health plan contacts clearly, promptly, and professionally.
• Use AI tools daily for automations/agents, analyzing data, and verifying your work.
• Improve and automate roster submission steps using spreadsheet automation and AI.
• Work with cross-functional teams to solve provider inquiries regarding their payer credentialing status.
• Support Payer Escalations with timely data on enrollment status.
• Update the Alma Portal to match the roster data.
• Prepare monthly executive level reports on roster and waitlist accuracy.

Qualifications

• 2+ years of direct experience in provider enrollment and rostering with commercial health plans.
• Working knowledge of how health plans require enrollments and rosters to be submitted.
• Experience improving or automating roster submission or enrollment workflows.
• Exceptional attention to detail and a habit of checking your own work.
• Advanced proficiency in both Google Sheets and Excel.
• Clear, professional written communication with clinicians, health plans, and internal partners.
• Proven ability to run recurring, deadline-driven processes independently.
• Working knowledge of Google Workspace (Docs, Sheets, Slides, Forms).
• Demonstrated, regular use of AI tools to draft, analyze, and check your work.
• A proactive approach to improving processes and a willingness to learn new systems quickly.

Requirements

• Experience working with several different national and regional health plans at once (nice to have).
• Experience in behavioral health or healthcare revenue cycle (nice to have).
• Experience writing spreadsheet scripts or building lightweight automations (nice to have).
• Professional credentials in credentialing or medical services management (for example, CPCS or CPMSM) (nice to have).

Benefits

• Health, Dental, Vision benefits start on your first day at Spring.
• Employer sponsored 401(k) match of up to 2% for retirement planning.
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers.
• Competitive paid time off policies including vacation, sick leave, and company holidays.
• Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents after 6 months tenure.
• Access to Noom, a weight management program tailored to your unique needs and goals.
• Access to fertility care support through Carrot, with $4,000 reimbursement for related fertility expenses.
• Access to Wellhub, connecting employees to options for fitness, mindfulness, nutrition, and sleep.
• Access to BrightHorizons, providing sponsored child care, back-up care, and elder care.
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.