Credentialing & Payor Enrollment Analyst

Sprinter Health • Menlo Park, CA

22h • $70,000 - $75,000 • Remote

About The Position

Sprinter Health is seeking a highly organized, detail-oriented Credentialing & Payor Enrollment Analyst to support healthcare provider onboarding and readiness. The role ensures providers are properly credentialed, licensed, and enrolled with payors so they can deliver care and be reimbursed without delay. The analyst owns end-to-end workflows across credentialing, licensing, and payor enrollment, and helps build scalable processes in a fast-growing organization.

The role covers new provider onboarding from offer acceptance through readiness to practice, recredentialing of existing providers, multistate license applications and renewals, and enrollment with commercial, Medicare, and Medicaid payors. The analyst maintains accurate records, tracks deadlines and application status, resolves deficiencies, communicates timelines and risks, and recommends process improvements. The work supports provider experience, operational efficiency, uninterrupted billing and reimbursement, and responsible organizational growth.

Requirements

• At least 5 years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations.
• Experience creating and maintaining CAQH accounts.
• Strong attention to detail and demonstrated ability to manage complex, document-heavy workflows.
• Excellent organizational and time-management skills, including 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.
• Takes ownership and sees work through from start to finish.
• Proactive in identifying risks and solving problems before they escalate.
• Comfortable building structure where processes are still evolving.
• Able to balance speed with accuracy and communicate clearly, professionally, and consistently.

Nice To Haves

• Experience 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.

Responsibilities

• Own end-to-end onboarding of new providers from offer acceptance through readiness to practice, and recredential legacy providers to maintain compliance and continued practice.
• Collect, review, and verify provider documentation, including education, training, work history, certifications, and malpractice coverage.
• Prepare and submit enrollment applications to payors and other required entities; track status, follow up, and resolve deficiencies.
• Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions.
• Maintain knowledge of state-specific licensing requirements and timelines; monitor expirations, renewals, and compliance deadlines.
• Communicate with state boards and regulatory agencies to address questions, requests, or discrepancies.
• 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 according to payor requirements and timelines.
• Track enrollment progress and escalate risks that may affect billing or reimbursement.
• 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

• Medical, dental, and vision plans fully paid for the employee and dependents.
• Flexible paid time off.
• 11 paid holidays per year.
• 401(k) with company match.
• 16-week parental leave policy for birthing parents and 8 weeks for all other parents.
• HSA and FSA contributions.
• Life insurance.
• Short- and long-term disability coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed