Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific),

Required QualificationsMinimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement. Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles. Proven ability to handle multiple providers and payers simultaneously with high accuracy. Strong analytical skills to diagnose enrollment issues and execute root-cause corrections. Clear and professional

The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license