[Hiring] Credentialing Specialist @Charlie Health Strategy & Operations

Role Description

The Credentialing Specialist will be responsible for owning health plan enrollment applications across group and individual submissions for both Medicaid and Commercial payors. Key responsibilities include:

• Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
• Communicate directly with providers to gather necessary information for credentialing application submissions.
• Ensure adherence to application requirements to guarantee all required information is submitted to health plans.
• Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval.
• Monitor application progress and propose solutions for resolving credentialing delays and rejections.
• Track application progress and follow-ups directly in Salesforce.

Qualifications

• Bachelor's degree.
• 2+ years working in health plan enrollment is preferred.
• Experience with Medicaid enrollment is preferred.
• Work authorized in the United States and native or bilingual English proficiency.
• Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce.

Requirements

• Must be able to work in the United States.
• Native or bilingual English proficiency.

Benefits

• Comprehensive benefits for all full-time, exempt employees.
• Base compensation between $40,000 and $53,000 per year.
• Performance bonus available.
• Total cash compensation range, including potential bonus, will be between $41,000 and $55,000 per year.
• Compensation determined on an individualized basis based on location, experience, expertise, and other relevant considerations.
• Potential inclusion of stock options and other Charlie Health-sponsored benefits.