Payor Contract/Contracting and Credential/Credentialing Specialist

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TYPE OF WORK

Full Time

SALARY

600-1000

HOURS PER WEEK

40

DATE UPDATED

Mar 5, 2026

JOB OVERVIEW

About Us:
We are a pioneering startup dedicated to transforming the landscape of autism diagnosis through remote evaluations. Our mission is to provide accessible, comprehensive, and accurate autism diagnostic services to individuals and families, regardless of their location. We are looking for passionate individuals to join our innovative team.

Role Overview:
We’re hiring a Contracting & Credentialing Specialist to manage provider enrollment and credentialing with payers. You’ll play a key role in expanding access and supporting provider readiness.

Key Responsibilities:
+ Complete and maintain provider credentialing with commercial and Medicaid payers for behavioral health clinicians (e.g., clinical psychologists, speech language pathologists, occupational therapists)
+ Update and manage CAQH, payer portals, and other provider databases
+ Track and manage expirations, revalidation, and application timelines
+ Follow up with payers and resolve issues or delays
+ Support new provider onboarding from credentialing to active status
+ Maintain internal tracking systems and documentation (e.g., application timelines, fee schedules, contracts)


Qualifications:
+ 2+ years experience in provider credentialing, contracting, or payer enrollment (behavioral health strongly preferred)
+ Familiar with CAQH, Medicaid, and payer-specific portals (e.g., Optum, Evernorth)
+ Excellent organizational and follow-up skills
+ Remote-ready, detail-oriented, and proactive
+ Fluent in English; able to work EST or PST hours


What We Offer:
+ Competitive compensation
+ Flexible remote work
+ A supportive team and mission-driven environment
+ Growth opportunities – we are growing quickly and always looking to promote top-notch talent to leadership positions

+As part of the interview process, we will expect you to do a small presentation so please only apply if you are able to do a presentation. Also, as we get a lot of interview requests, in your request, please indicate why this would be a good opportunity for you, a little about your background and, most importantly, what is the answer to 3+9. Yes, its a very simple answer, but we want someone to pay attention to details and be interested in this job.

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