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Credentialing Specialist

Remote: 
Full Remote
Salary: 
40 - 55K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Bachelor's degree required, 2+ years in health plan enrollment preferred.

Key responsabilities:

  • Complete health plan enrollment applications
  • Communicate with providers for credentialing
Charlie Health logo
Charlie Health SME https://www.charliehealth.com/
501 - 1000 Employees
About Charlie Health
People in crisis are struggling to find the mental health treatment they need. At Charlie Health, we’re creating serious, effective, and accessible solutions. Our treatment programs combine personalized care with peer connection to foster long-term healing.
See more Charlie Health offers

Job description

 
Why Charlie Health?

We are currently facing a nationwide mental health epidemic marked by rising rates of depression, anxiety, trauma, substance use disorders, and suicide. At the same time, those seeking help often encounter barriers—whether geographic, financial, or systemic—that prevent them from receiving timely and effective care. This urgent need calls for a reimagined approach to behavioral health treatment.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our innovative virtual programs combine curated group sessions, individual therapy, and family therapy, delivered through personalized, evidence-based treatment plans designed for sustainable healing from the comfort of home. By connecting individuals with shared experiences and fostering supportive communities, Charlie Health provides a pathway to long-term recovery, with over 90% of our clients seeing improvement in their most challenging mental health symptoms.

Every member of our team shares a deep commitment to this mission. If you’re driven to make a meaningful impact, we invite you to join us in reshaping the future of mental healthcare.

About the Role

The Credentialing Specialist will be responsible for owning health plan enrollment applications across group and individual submissions for both Medicaid and Commercial payors. You will be responsible for owning states and health plans, ensuring that all new provider and health plan applications are completed and approved in a timely manner. Key responsibilities will include monitoring application progress and proposing solutions for resolving credentialing delays and rejections. Your attention to detail and proactive approach will be essential in facilitating a smooth enrollment process.

We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.
Responsibilities
  • Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
  • Communicate directly with providers to gather necessary information for credentialing application submissions
  • Ensure adherence to application requirements to guarantee all required information is submitted to health plans
  • Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
  • Monitor application progress and propose solutions for resolving credentialing delays and rejections
  • Track application progress and follow-ups directly in Salesforce
Qualifications 
  • Bachelor's degree 
  • 2+ years working in health plan enrollment is preferred
  • Experience credentialing across multiple states as well as across Commercial and Medicaid payors 
  • Experience with state Medicaid enrollment is preferred 
  • Experience with delegated credentialing is a plus
  • Work authorized in the United States and native or bilingual English proficiency
  • Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

The total target base compensation for this role will be between $40,000 and $53,000 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus. The expected total cash compensation range, including potential bonus, will be between $41,000 and $55,000 per year. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. #LI-Remote
Our Values
  • Connection: Care deeply & inspire hope.
    • We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
    • We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
  • Congruence: Stay curious & heed the evidence.
    • We ask “why” five times before we’re satisfied with the answer. We don’t stick to the status quo; we challenge our assumptions and remain humble.
    • Above all, we’re results-oriented. When we find data that calls our original plan into question, we modify or pivot.
  • Commitment: Act with urgency & don’t give up.
    • We work as swiftly as possible. The mental health crisis is relentless, and so are we.
    • Our clients don’t give up and neither do we. Persistence is our superpower.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Benefits Enrollment ProcessesCredential ProvidersPayer MarketingMedicaid WaiverSalesforceCredential ManagerCloud ApplicationsZoom (Video Conferencing Tool)Slack (Software)

Other Skills

  • Time Management
  • Teamwork
  • Communication
Are you interested?

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