Senior Associate, Credentialing and Payer Enrollment

Job description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We’re launching a new Credentialing & Payer Enrollment service and seeking a Senior Associate to be the knowledge engine for payer research and process documentation. This hands-on, detail-oriented role owns discovery and maintenance of payer enrollment requirements, payer policies, and EDI specifications—using web-based and AI-assisted research tools to build the knowledge base that enables accurate, timely enrollments and smooth customer onboarding. About the Role / Team: You’ll partner closely with the Senior Manager and frontline teams to translate complex payer rules into granular, actionable processes that drive enrollment and billing success. Your work directly impacts time-to-enrollment and reduces rework and escalations by ensuring documentation is accurate, current, and easily consumable by operational teams. Core Responsibilities: Payer research (≈50%): discover and validate payer enrollment requirements, policies, and EDI specifications across a growing payer landscape. Use web and AI-assisted research tools to find, synthesize, and verify payer...