Credentialing & Payor Enrollment Analyst
Sprinter Health
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $45,000 - $55,000 per year
About the role
- 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
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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
healthcare credentialinglicensingpayor enrollmentmultistate operationsdocument managementapplication trackingcompliance monitoringprocess improvementworkflow managementrecord keeping
Soft Skills
attention to detailorganizational skillstime managementcommunication skillsproblem-solvingproactive follow-upstakeholder managementadaptabilitycollaborationcritical thinking