Credentialing & Payor Enrollment Analyst

Sprinter Health

2d

About The Position

We are seeking a highly organized, detail-oriented Credentialing & Payor Enrollment Analyst to support the onboarding and readiness of healthcare providers in a fast-growing organization. This role is critical to ensuring providers are properly credentialed, licensed, and enrolled with payors so they can deliver care and be reimbursed without delay.
The ideal candidate thrives in a startup or high-growth environment, brings strong operational discipline to complex regulatory work, and communicates clearly and in a structured manner. You’ll own end-to-end workflows across credentialing, licensing, and payor enrollment, while helping build scalable processes that support rapid growth.

Requirements

• 5+ years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations
• Strong attention to detail and proven ability to manage complex, document-heavy workflows
• Excellent organizational and time-management skills with 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 in 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 the end-to-end onboarding process for new providers, from offer acceptance through readiness to practice
• Collect, review, and verify documentation, including education, training, work history, certifications, and malpractice coverage
• Prepare and submit enrollment applications to payors and other required entities
• Track application status, follow up proactively, and resolve deficiencies to prevent onboarding delays
• Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions
• Maintain up-to-date knowledge of state-specific licensing requirements and timelines
• Monitor license expirations, renewals, and compliance deadlines to ensure uninterrupted provider eligibility
• 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 in accordance with payor requirements and timelines
• Track enrollment progress and escalate risks that may impact 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

• Meaningful pre-IPO equity
• Medical, dental, and vision plans 100% paid for you and your dependents
• Flexible PTO + 10 paid holidays per year
• 401(k) with match
• 16-week parental leave policy for birthing parent, 8 weeks for all other parents
• HSA + FSA contributions
• Life insurance, plus short and long-term disability coverage
• Free daily lunch in-office
• Annual learning stipend

What This Job Offers

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