Operations Associate, Credentialing and Payer Enrollment
Job Description:
• Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows, ensuring applications move forward accurately and on time.
• Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
• Support clinicians directly by guiding them through credentialing and enrollment requirements and helping resolve missing or incomplete documentation.
• Monitor re-attestation, re-credentialing, and ongoing compliance requirements to prevent downstream delays.
• Analyze credentialing and enrollment data to surface trends, risks, and opportunities for improvement.
• Prepare clear reporting for internal stakeholders, audits, and leadership
• Identify process gaps, inefficiencies, or manual work and help implement improvements over time.
• Use spreadsheets, dashboards, and internal tools to manage workflows and track performance.
• Provide subject matter expertise to Wheel team members and/or clinicians about Wheel’s credentialing and payer enrollment operations.
• Review clinician licensure and, in collaboration with the Marketplace team, identify strategies to increase clinician capacity and earnings.
• Assist with additional duties as assigned by the Manager to support Wheel’s Provider Operations.
• Communicate clearly, professionally, and empathetically with clinicians and internal partners.
Requirements:
• 3+ years of professional experience, ideally in operations, healthcare/ telehealth or a fast-paced startup environment.
• 1+ years of experience in credentialing and/or payer enrollment, including hands-on experience with the CAQH Provider Data Portal and Verifiable or Medallion.
• 1+ experience with data analysis and visualization- you are comfortable working in spreadsheets, interpreting metrics, and using data to manage workflows and spot issues.
• You're highly organized but also thoughtful about how work gets done, not just checking boxes.
• You communicate clearly and confidently with clinicians and internal partners.
• You're comfortable in detail-oriented work *and* curious about how to improve processes over time.
• You are curious about AI and eager to use AI to create efficiencies and high quality experiences.
Benefits:
• Medical, Dental and Vision
• Ancillary: Life, Short and Long Term Disability
• 401K match
• Flexible PTO
• Parental Leave
• Stock options
• Additional programs and perks
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• Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows, ensuring applications move forward accurately and on time.
• Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
• Support clinicians directly by guiding them through credentialing and enrollment requirements and helping resolve missing or incomplete documentation.
• Monitor re-attestation, re-credentialing, and ongoing compliance requirements to prevent downstream delays.
• Analyze credentialing and enrollment data to surface trends, risks, and opportunities for improvement.
• Prepare clear reporting for internal stakeholders, audits, and leadership
• Identify process gaps, inefficiencies, or manual work and help implement improvements over time.
• Use spreadsheets, dashboards, and internal tools to manage workflows and track performance.
• Provide subject matter expertise to Wheel team members and/or clinicians about Wheel’s credentialing and payer enrollment operations.
• Review clinician licensure and, in collaboration with the Marketplace team, identify strategies to increase clinician capacity and earnings.
• Assist with additional duties as assigned by the Manager to support Wheel’s Provider Operations.
• Communicate clearly, professionally, and empathetically with clinicians and internal partners.
Requirements:
• 3+ years of professional experience, ideally in operations, healthcare/ telehealth or a fast-paced startup environment.
• 1+ years of experience in credentialing and/or payer enrollment, including hands-on experience with the CAQH Provider Data Portal and Verifiable or Medallion.
• 1+ experience with data analysis and visualization- you are comfortable working in spreadsheets, interpreting metrics, and using data to manage workflows and spot issues.
• You're highly organized but also thoughtful about how work gets done, not just checking boxes.
• You communicate clearly and confidently with clinicians and internal partners.
• You're comfortable in detail-oriented work *and* curious about how to improve processes over time.
• You are curious about AI and eager to use AI to create efficiencies and high quality experiences.
Benefits:
• Medical, Dental and Vision
• Ancillary: Life, Short and Long Term Disability
• 401K match
• Flexible PTO
• Parental Leave
• Stock options
• Additional programs and perks
Apply tot his job
Apply To this Job