Credentialing Specialist

Sailor Health

12d•$40,000 - $55,000•Remote

About The Position

Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare. Sailor is building the platform for senior mental health, connecting older adults, therapists, healthcare professionals, and insurance plans. Our AI-native operating system powers seamless care coordination, real-time clinical insights, and insurance billing – enabling therapists to spend more time delivering compassionate care. We are growing quickly and have partnered with Medicare to offer affordable and exceptional psychotherapy to hundreds of patients. We’re hiring a full-time remote Credentialing Specialist to lead and support all aspects of provider credentialing at Sailor Health. You will own end-to-end enrollment of providers and practice locations in Medicare via PECOS, manage credentialing with Medicare Advantage health plans, maintain accurate CAQH profiles, establish SOPs, and improve credentialing workflows. You will also work closely with our leadership team to innovate on our processes and systems.

Requirements

Credentialing experience: 3+ years of direct experience in provider enrollment and credentialing, including both group and individual provider enrollments.
PECOS wizard: You have extensive experience working with PECOS enrollments, I&A, and request for corrections – this is a must.
Medicare Advantage applications: Prior work with Medicare Advantage health plans and credentialing requirements.
Tracking and project management tools: Comfortable learning and using tools such as Airtable, credentialing automation software, and common office/productivity apps.
Detail-oriented & organized: You have impeccable attention to detail, stay organized, and meet deadlines in a fast-paced environment.
Process mindset: Experience building SOPs and improving operational workflows.
Collaborative communicator: Able to work cross-functionally and communicate clearly with internal teams and external partners.

Responsibilities

Manage provider enrollment & credentialing: Lead the full credentialing lifecycle for new and existing providers and practice locations — including Medicare (PECOS), Medicare Advantage plans, and other payers.
Maintain provider data: Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information.
Optimize workflows: Assess current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices.
Develop SOPs: Write, maintain, and iterate standard operating procedures for credentialing functions and integrate them into operational practice.
Monitor compliance: Track credentialing status, re-credentialing deadlines, notices, and plan requirements to ensure uninterrupted provider participation in payer networks.
Communicate across teams: Partner with internal stakeholders — including Clinical Operations, Payer Strategy, and Provider Growth — to align priorities and share updates on credentialing progress and blockers.
Provider support: Serve as a credentialing point of contact for providers and internal teams, answering questions and coordinating documentation submissions.