Provider Credentialing & Enrollment Operations Coordinator

Location: Washington, DC (Hybrid - 4 days onsite)

Company Overview

Enlightened is looking for a Provider Credentialing & Enrollment Operations Coordinator to support the credentialing process for new and existing providers. This role helps ensure providers are credentialed, enrolled, and activated accurately and on time.

This position requires strong organization, attention to detail, and the ability to coordinate with both internal teams and external providers.

Position Responsibilities

• Prepare and submit provider credentialing and enrollment applications
• Review applications for completeness and accuracy before submission
• Track credentialing status across systems and follow up as needed
• Contact providers to obtain missing or additional documentation
• Submit tickets to initiate provider setup and system access
• Route and track tickets to the appropriate teams through completion
• Work with internal teams to verify information and resolve issues
• Perform quality checks before provider activation
• Maintain organized, audit-ready files and tracking logs
• Assist with reporting and process improvements

Required Qualifications

• Bachelor's degree in a related field, or equivalent combination of education and relevant work experience may be considered in lieu of a degree.
• Experience in provider credentialing, enrollment, healthcare administration, or similar work preferred
• Strong attention to detail and ability to manage multiple tasks
• Clear and professional communication skills
• Experience with credentialing systems, ticketing tools, and Microsoft Office
• Ability to work independently in a fast-paced environment

Core Competencies

• Attention to detail
• Organization and follow-up
• Customer service approach
• Team collaboration
• Problem-solving
• Understanding of compliance requirements

Benefits:

The expected salary range for this position is listed above. Actual compensation will be determined based on experience and qualifications as well as internal equity and alignment with market data.


At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:

• Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• 401(k) Retirement Plan
• Paid Holidays, Vacation, & Sick Leave
• Professional Training & Development Reimbursement

Please note, these benefits are available exclusively to full-time employees of Enlightened.

Equal Opportunity Statement

Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability, or any other federal, state, or local protected class.