Credentialing & Payor Enrollment Analyst

Sprinter Health • Menlo Park, CA

3d • Remote

About The Position

Sprinter Health is seeking a highly organized, detail-oriented Credentialing & Payor Enrollment Analyst to support provider onboarding and readiness in a fast-growing healthcare organization. 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, while helping build scalable processes to support growth.

The role includes onboarding new providers from offer acceptance through readiness to practice, recredentialing legacy providers, collecting and verifying provider documentation, preparing and submitting applications, tracking progress, and resolving deficiencies. It also involves preparing and tracking state license applications and renewals, monitoring compliance deadlines, working with regulatory agencies, and managing commercial, Medicare, and Medicaid enrollment and rosters.

The analyst maintains accurate records, communicates timelines and risks to providers and internal stakeholders, manages high-volume work using structured workflows, and recommends process improvements. This role enables providers to deliver care and helps ensure the organization can bill and receive reimbursement without disruption.

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 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.

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.
• Collect, review, and verify provider education, training, work history, certifications, and malpractice coverage documentation.
• Prepare and submit enrollment applications to payors and other required entities; track application 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, and monitor license 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 could 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 PTO.
• 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: Senior
• Education Level: No Education Listed