Remote Payer Operations Specialist-Credentialing & Enrollment
$55k - $65kHealth Data Innovations, Inc.
- Remote job
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking an enthusiastic and process-driven Payer Operations Specialist to serve as a subject matter expert and payer escalations contact on the credentialing and payer operations team. As we expand in-network access across the country, this role directly owns the speed and accuracy of payer expansion — the difference between providers who can see members on day one and applications that stall. You will be responsible for investigating stalled applications, new payer processes, and reviewing quality across the team to ensure consistency and SLA execution. Location: Fully remote within the U.S Your Impact Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable processes Implement quality controls and error-catching checkpoints that reduce rework and rejected applications Identify bottlenecks in the expansion pipeline and drive cycle-time improvements Keep enrollment and contracting trackers meticulously up to date, flag aging items and delays, and escalate blockers with proposed solutions Conduct persistent, proactive follow-up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications through to approval. You own each item until it's done Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives. Assist with application submission, as needed. Required Qualifications 4+ years of experience in provider enrollment and credentialing Demonstrated experience building or documenting processes and SOPs Comfort owning metrics and reporting on pipeline throughput Highly independent and driven. You follow up relentlessly (including comfort calling and escalating within payer networks), manage your own queue without reminders, and don't let applications sit Exceptional attention to detail and organizational skills; you take pride in accurate, deadline-driven work Preferred Qualifications Hands-on experience with payer portals and third-party portals i.e. Availity Familiarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus) Experience in multi-state telehealth, digital health, or a high-growth healthcare environment Exposure to credentialing standards (e.g., NCQA, CMS) What Allara Offers Compensation & Career Growth $55,000 - $65,000 with opportunities for advancement Equity Professional development & employee learning programs Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks. Work Environment & Flexibility 100% remote within the U.S. Unlimited PTO & 11 company holidays Health & Wellness Medical, dental, and vision benefits Health Savings Account (HSA) & Flexible Spending Account (FSA) Long- and short-term disability coverage Annual employee wellness stipend Family & Future Planning 401(k) plan Parental leave & family planning support benefits Additional Perks Company-issued laptop Annual work-from-home stipend Commuter benefits (if applicable) A collaborative, mission-driven culture focused on improving patient care At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. #J-18808-Ljbffr Health Data Innovations, Inc.
$175k - $215k
...built a leading provider operations platform to eliminate the... ...By automating licensing, credentialing, payer enrollment, and compliance monitoring... ...of team leads, enrollment specialists and quality analysts, including... ...email addresses. #LI-Remote ----- Medallion is an...Remote workFull timeLocal areaShift work- ...provider offering expert, longitudinal care across life stages. We are seeking a Payer Operations Specialist to own payer expansion, credentialing, and enrollment processes on a national, fully remote team in the United States. You will investigate stalled applications,...Remote job
- ...Health, Inc. in Wisconsin seeks a Credentialing Specialist to manage facility and practitioner enrollment and maintain provider data... ...compliance and coordinate with payer representatives to verify... ...Financial Services teams. On-site or remote work options are available to...Remote work
- 100% Remote Please Apply Only If You Have 3 Years Experience Completing Medicare and Medicaid Payer Credentialing Applications AIS Healthcare is the leading provider of... ...seeking an experienced Payer Enrollment & Credentialing Specialist to join our growing team. This...Remote workContract workWork from home
$80k - $91.2k
...healthcare. Rula is a remote-first company. We... ...pipelines, execute bulk enrollment record updates, and maintain... ...workflows across 50+ payer networks. You will build and maintain operational documentation and SOPs... ...operations, or credentialing/enrollment support ~...Remote workFull timeWork experience placementLive inCurrently hiringHome office- Ovation Healthcare is seeking a Specialist, Payer Relations to guide the provider enrollment lifecycle and advise on billing structure to ensure regulatory and... ...requires 3+ years in provider enrollment or credentialing, strong communication, and attention to detail;...Remote job
- ...timely and accurate enrollment of healthcare... ...vendors, the full-time Payer Enrollment Specialist will manage payer enrollment... ...with the medical credentialing team, and resolve... ...issues in a remote capacity. Key responsibilities... ...office, business, operations, customer service,...Remote workFull timeWork at office
$90k - $110k
...succeed in value-based care. As Michigan Payer Enrollment Operations Manager (internally: Operations Manager, IPA... ...a team that may include an Operations Specialist and Membership Associates. Location Note: This is a remote role, with a strong preference for candidates...Remote workFull timeContract workWork at officeFlexible hours- Remote The Credentialing & Payer Enrollment Specialist is responsible for coordinating and maintaining timely and accurate provider credentialing, recredentialing... .... Coordinate with Human Resources and operational leadership regarding incoming and departing providers...Remote workContract work
$45k - $60k
Division/Department: RCS, Payer Operations & Intelligence Location: 7500... ...Schedule : 3 days onsite/2 remote per week following initial 3... ...Payer Operations & Intelligence Specialist role is integral to ensure... ...and oversee provider EDI enrollment for electronic claims, remittance...Remote work$67k - $75k
...Healthcare Operations Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | 8:... ...Operations Specialist to support payer operations, claims analysis,... ..., provider relations, credentialing, revalidation, or enrollment processes. Strong Excel and...Remote workPermanent employmentFull timeContract workTemporary workLocal areaMonday to FridayFlexible hours- ...experienced industry specialist to join our team in the role of Provider Enrollment Specialist . Catalyst... ...allows for flexible hours, remote work, an open-door... ...and coordinating the credentialing and enrollment process... ...providers across various payers. The ideal candidate...Remote workFull timeFlexible hours
$30 - $40 per hour
...Healthcare Provider Enrollment/Credentialing Specialist Company: V2V Management... ...commercial insurance payers for entities and providers... ...specifically supporting operational processes for enrollment... ...Friday Work Location: Hybrid remote in Boise, ID 83713...Remote workHourly payFull timeWork at officeMonday to FridayFlexible hours- ...lives we serve. Location: Clinton Township, MI. This full-time role involves provider enrollment, credentialing support, and ensuring timely billing with Medicaid/CHAMPS. Remote options appear in some postings; verify requirements during application. #J-18808-LjbffrRemote workFull time
$83k - $100k
Clinical Operations Specialist - Licensed Therapist Employment Type... ...Director Location: Remote/Hybrid Compensation:... ..., product, quality, credentialing, and care‑... ...escalations and assist with enrollment‑related clinical questions... ...Participate in payer and similar clinically...Remote workFull timeTemporary workPart time$35k - $58k
Payer Enrollment SpecialistWe use cookies on this site with... ...SpecialistApply: US - Remote (Any location): Full... ...Account Representative Credentials**Travel Required:**... ...NoneThe **Payer Enrollment Specialist** is responsible for... ...and stakeholders. **Operational Support:*** Ensure...Remote workFull timeTemporary workWork at officeFlexible hours- ...The University of Miami, Division of Enrollment Management, invites applications for a full-time Enrollment Operations Specialist to work remotely. You will support special populations, process I-20 requests with ISSS, manage the Need Information workflow, and provide...Remote workFull time
- ...The University of Miami, Division of Enrollment Management, has an exciting opportunity for a full time Enrollment Operations Specialist to work remote. Under the supervision of the Director, the Enrollment Operations Specialist is responsible for supporting special...Remote workFull timeWork experience placement
- Neolytix in Chicago, IL is seeking a Healthcare Operations Coordinator to serve as the operational backbone of our local office, coordinating enrollment, payer relations, and client services while ensuring day-to-day efficiency. You will collaborate with leadership and...Work at officeLocal area
- Neolytix in Chicago, IL is seeking a Healthcare Operations Coordinator to serve as the operational backbone of our local office. You’ll coordinate provider enrollment, payer relations, and client service while keeping day-to-day activities running smoothly. In this high...Local area
$60k - $64k
...will manage the payor enrollment process, working... ...with our Director of Credentialing Operations. You'll be a key contributor... ..., and private payer insurance systems.... ...Provider Credentialing Specialist (CPCS) is preferred.... ...field is preferred. Remote work experience is strongly...Remote workFull timeWork experience placementWork from home- ...ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all... ...work history. Coordinate payer enrollment applications and updates to... ...environment. Pay & Perks: Fully remote opportunity Medical, dental, and...Remote workLocal areaWork from home
$41.6k - $52k
...to support our Network Operations team for a 3-month... ...9s, provider rosters, credentialing information), prepare... ...credentialing, provider enrollment, managed care, insurance... ..., taxonomy) and basic payer contract terms is a plus... ...Location: Fully remote (U.S.-based) Engagement...Remote workHourly payFull timeContract workFor contractorsWork at officeFlexible hours$3,802.93 - $5,097.73 per month
...motivated and experienced Operations Specialist to oversee key functions within... ...research program, provider credentialing processes and support... ...meet regulatory standards, payer requirements, and institutional... ...: 9/15/2025 Eligible for Remote Work: Yes Application Instructions...Remote workFull time$40k - $45k
Profile We offer remote work opportunities (AR, IA, IL, MN, MO, LA, WI). Our... ...apply! Job Summary The Healthcare Operations Specialist provides non-clinical support to TriWest... ...supported staff (care management, enrollment, credentialing, etc.). Handle incoming and...Remote workContract workTemporary workInterim roleWork at officeLocal area- ...healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing credentialing processes... ..., with a strong understanding of payer enrollment processes and regulatory requirements. Benefits...Remote work
- Austin Benefits Group in Michigan is seeking a Client Benefits Coordinator to be the operational heartbeat of our client service model. You’ll process enrollments, manage eligibility changes, conduct audits, and ensure every client and employee receives timely, accurate...Remote job
- ...The Business of Medicine is seeking a Provider Enrollment Specialist to manage credentialing and enrollment across payers. The role emphasizes strong organization, attention... ...payers and providers. The position offers remote work options and flexible hours, with a culture...Remote workFlexible hours
$55k - $65k
...Payer Contracting SpecialistAllara is a... ...Payer Contracting Specialist to accelerate our... ...revenue cycle, and credentialing, which makes it... ....Location: Fully remote within the U.S.Your... ...go-to desk for enrollment and provider-data... ..., denials, payer operations, credentialing, or...Remote workTemporary workInternshipLocal areaWork from homeFlexible hoursShift work- ...Partners in Healthcare is seeking a Provider Enrollment Specialist to manage enrollment and revalidation... ...with government and commercial payers. The role requires meticulous attention... ...compliant records. The position is fully remote with residence required in Arizona, Texas...Remote job
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