Contracting & Credentialing Specialist

Dreem HealthEastern, KY
2d$60,000 - $70,000

About The Position

Dreem Health is America’s leading digital sleep clinic. Powered by Sunrise’s technology, Dreem Health makes sleep care simple — replacing long waits and in-lab sleep studies with home-based testing, expert telehealth visits, and personalized treatment plans that are easy for patients to follow. We’re fixing the broken sleep care journey and helping more people get the care they need — from home, on their schedule. Sleep is one of healthcare’s biggest blind spots. Access is slow, confusing and uneven, and millions of people who need help never get it. Sunrise exists to change that. Born from pioneering research on mandibular jaw movement, we built a chin-based sleep test that reinvented how sleep disorders can be diagnosed from home. That breakthrough has evolved into a full sleep-health platform: advanced diagnostic and treatment technology paired with clinical care delivered directly to patients’ homes through Dreem Health in all 50 U.S. states. Across the U.S. and Europe, our 100+ clinicians, engineers and operators share one mission: make high-quality sleep care accessible to everyone. Backed by more than $50M, we’re taking on one of healthcare’s biggest challenges: the 1+ billion people worldwide who still can’t get the sleep care they need. Your Opportunity We're hiring a Contracting & Credentialing Specialist who will be responsible for supporting all credentialing, licensing, and payer contracting activities within the Managed Care Contracting & Credentialing Department. This role ensures MD, APRN, RPSGT, RTT profiles and facilities are appropriately credentialed and licensed (include Rx authority and autonomous practice when applicable), re-credentialed, and contracted in compliance with regulatory, payer, and organizational requirements. This is a hands-on role reporting directly to the Sr. Manager, Contracting & Credentialing, works closely with internal stakeholders, payers, and external agencies to support timely onboarding and ongoing compliance. At Sunrise Group, we work on a problem that affects millions: poor sleep and untreated sleep disorders. Our mission is to make diagnosis and care easier to access, and we’re proud of the experience we provide to patients. We feel responsible for making it better every day. If you’re looking for the autonomy to take ownership of your work, make an impact, and be part of a team where ideas move fast and everyone has a voice - this role is for you!

Requirements

  • Bachelor’s degree or equivalent experience preferred
  • 3+ years of experience in provider credentialing, licensing and/or managed care contracting
  • Strong working knowledge of state boards, CAQH, payer portals, and credentialing workflows
  • Familiarity with ACHC, AASM, CMS, and state regulatory requirements
  • Strong attention to detail, organization, and follow-up skills
  • Ability to manage multiple priorities and deadlines in a fast-paced environment
  • Excellent written and verbal communication skills

Nice To Haves

  • Sleep Clinic, Sleep device and Telehealth (multi-state) experience is a plus
  • Credentialing certification (CPCS or CPMSM) a plus

Responsibilities

  • Coordinate end-to-end provider credentialing and re-credentialing processes with commercial and government payers, including application submission
  • Prepare, submit, and track credentialing applications through CAQH and payer portals
  • Support payer contracting activities, including data collection, application submission, and follow-up
  • Submit and follow up on licensing activities with multi-state boards and provide update and visibility to leadership
  • Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards (federal, state and local regulations)
  • Monitor credentialing timelines and proactively address delays or deficiencies
  • Serve as a liaison between providers, internal departments, and payers regarding credentialing, licensing and contracting status
  • Maintain credentialing databases and ensure data integrity across systems
  • Assist with audits, reporting, and credentialing (licensing) metrics as requested
  • Support licensing needs guided by the organizations growth
  • Stay current on payer requirements, regulatory changes, and industry best practices
  • Provide administrative and project support to the Senior Manager of Contracting & Credentialing as needed

Benefits

  • Meaningful work that directly improves peoples’ lives
  • Be part of an international team across the US, France, Belgium
  • Annual team offsite
  • Comprehensive health benefits (medical, dental, vision)
  • FREE One Medical membership
  • 401(k) with company match
  • 20 days PTO + 10 paid holidays + 80 hours paid sick leave
  • Monthly phone and internet stipend
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