Contracting and Credentialing Associate (Remote Non-US)

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TYPE OF WORK

Full Time

SALARY

$600-$900 per month

HOURS PER WEEK

40

DATE UPDATED

Jul 17, 2026

JOB OVERVIEW

PLEASE SUBMIT YOUR APPLICATION HERE:
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Job Title: Contracting & Credentialing Associate

Location: 100% Remote (Offshore)

Employment Type: Full-Time Contractor

Compensation: $600-$900

Hours: 40 hours/week, primarily EST business hours


About Josi Health

Josi Health is a fast-growing remote healthcare company focused on making autism & ADHD diagnostic evaluations and therapy more accessible, faster, and less stressful for families. We operate across 40+ states and work with major insurance carriers. Our clinical network of Licensed Psychologists (PsyD/PhD) and Therapists (LCSWs, LPCs, LMHCs) must be flawlessly credentialed and enrolled across all major insurance carriers to ensure care delivery is fully reimbursable.


About the Role

We are seeking a highly organized, details-driven, and proactive Contracting & Credentialing Associate. In this role, you will own the end-to-end provider credentialing and payer enrollment lifecycle. You will act as the master coordinator ensuring our clinical tea ---------- mbers are credentialed quickly and with zero gaps in coverage.


This is not a slow-paced data-entry job. You will run our credentialing pipeline like a high-efficiency production line – tracking strict timelines, managing provider data registries, executing primary source verifications, and proactively following up with payers to eliminate administrative delays. This role will also require strategic thinking – to identify how we can improve our internal processes, network access and optimization, network expansion opportunities and credentialing timelines.


Key Responsibilities

Provider Credentialing

- Manage end-to-end credentialing and re-credentialing processes for Clinical Psychologists (PsyD/PhD), therapists (LCSWs, LPCs, LMHCs) and other remote clinical providers

- Maintain and audit all provider profiles in CAQH, ensuring information is current, attested, and fully compliant

- Perform primary source verifications of provider licenses, certifications, education, and malpractice insurance history

- Maintain secure, centralized physical and digital provider credentialing files, fee schedules, and databases


Payer Enrollment & Roster Management

- Prepare, submit, and track provider enrollment applications with payers

- Compile and distribute monthly provider rosters to active insurance plans to ensure payer directories remain accurate

- Identify and resolve provider-level NPI, taxonomy, or enrollment errors that cause clearinghouse or payer-level claim rejections

- Actively track credentialing cycle times and report on application statuses across our active expansion pipeline


Contracting Support & Network Adequacy

- Monitor contracting pipelines, ensuring group contract addendums and provider agreements are executed correctly

- Support the operations team by gathering data and preparing applications to challenge commercial panel closures (network adequacy appeals)

- Regularly audit payer directories to ensure Josi Health providers are visible and active


Coordination & Compliance

- Monitor licensure and certification expiration dates (e.g., state medical licenses, DEA, malpractice) and send timely renewal alerts to providers

- Collaborate closely with recruiting and clinical teams to coordinate the onboarding schedule of incoming providers

- Adhere strictly to NCQA standards, URAC guidelines, and HIPAA regulations regarding data security and privacy

- Provide clear, professional updates to providers on their credentialing status, making document retrieval as painless as possible


What We're Looking For

Must-Have

- 2+ years of healthcare experience specializing in provider credentialing, payer enrollment, or provider relations

- Highly proficient with CAQH

- Working knowledge of medical licensing structures (e.g., PsyPact), NPI registries (NPPES), and primary source verification standards

- Obsessive attention to detail – a missed box or expired license can disrupt operations; you double-check everything

- Excellent written and verbal English communication skills; comfortable reaching out to busy providers and navigating complex payer customer service lines

- Strong spreadsheet skills (Excel/Google Sheets) for tracking active pipelines and provider cohorts

- Reliable remote work setup with backup power and high-speed internet (aligned with EST hours)


Preferred

- Experience credentialing remote/telehealth providers across multiple states

- Familiarity with NCQA credentialing standards, PECOS, and various state Medicaid portals

- Experience in behavioral health networks

- Certified Provider Credentialing Specialist (CPCS) certification


What We Offer

- Fully remote – work from anywhere outside the US

- Competitive monthly compensation in USD

- Direct ownership of a vital operational pipeline in a fast-scaling startup

- Support from a collaborative, tech-forward administrative team


How to Apply

1. Upload your resume (PDF)

2. Complete the short questionnaire

3. Submit


PLEASE SUBMIT YOUR APPLICATION HERE:
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SKILL REQUIREMENT
Credentialing HIPAA Compliance
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