Credentialing Associate

NourishNew York, NY
3dRemote

About The Position

Reporting directly to our Credentialing Lead, the Credentialing Associate will support all credentialing operations at Nourish, including assisting with day-to-day tasks, maintaining and optimizing workflows, developing net-new processes as we expand into new payers and functions, and helping to ensure the credentialing process runs smoothly. This role is critical for many of Nourish’s core operations; you’ll get the chance to work cross-functionally with our RCM, Payer Ops, Clinical Ops, and Customer Experience teams. The work you do will positively impact all stakeholders at Nourish—our patients (ensuring they get the life-changing care they need), our dietitians (providing a seamless credentialing experience), our payers, and more. This role is full-time and open NYC-based or remote candidates.

Requirements

  • You have 3+ years of experience in a credentialing and/or provider enrollment role.
  • You are familiar with credentialing processes and payer and accreditation requirements.
  • You are an effective communicator and enjoy collaborating with people across different roles and teams.
  • You are meticulously organized and detail-oriented.
  • You are tech-savvy and open to learning and using new technologies.
  • You are flexible and adaptable when facing new challenges and circumstances.

Responsibilities

  • Own the end-to-end cycle of credentialing applications for new and existing providers under our contracts, ensuring all requirements are met for successful enrollment.
  • Assist in building NCQA compliant ongoing monitoring and delegation programs for the Nourish network of RDs.
  • Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows.
  • Develop SOPs (detailed guides) for new payer contracts and other credentialing processes, and own the implementation across the team.
  • Assist in managing/uptraining our contract credentialing team.
  • Help track credentialing metrics and report on progress, roadblocks, and other updates; provide suggestions on how to make our reporting more robust & actionable.
  • Provide direct support to our dietitians and payers, and own/manage all RD credentialing communications.
  • Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

1,001-5,000 employees

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