Credentialing Associate

About the Role

Reporting directly to our Credentialing Lead, the Credentialing Associate will support all credentialing operations at Nourish, including assisting with day-to-day tasks, maintaining and optimizing workflows, developing net-new processes as we expand into new payers and functions, and helping to ensure the credentialing process runs smoothly.

This role is critical for many of Nourish’s core operations; you’ll get the chance to work cross-functionally with our RCM, Payer Ops, Clinical Ops, and Customer Experience teams. The work you do will positively impact all stakeholders at Nourish—our patients (ensuring they get the life-changing care they need), our dietitians (providing a seamless credentialing experience), our payers, and more.

This role is full-time and open to remote or in Nourish’s NYC office in the heart of Union Square.

Key Responsibilities:

• Own the end-to-end cycle completion of credentialing applications for new and/existing providers under our contracts, ensuring all requirements are met for successful enrollment.
• Assist in building NCQA compliant ongoing monitoring and delegation programs for the Nourish network of RDs.
• Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows.
• Develop SOPs (detailed guides) for new payer contracts (detailed guides) and other credentialing processes, and own the implementation across the team..
• Collaborate with team members to prioritize tasks and meet deadlines for application execution and follow-ups. Assist in managing/uptraining our contract credentialing team.
• Help track credentialing metrics and report on progress, roadblocks, and other updates; provide suggestions on how to make our reporting more robust actionable.
• Provide direct support to our dietitians and payers, and own/manage all RD credentialing communications Assist in managing RD and payer inquiries
• Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed..

We’d love to hear from you if:

• You have 2+ years of experience in a credentialing and/or provider enrollment role.
• You are familiar with credentialing processes and payer and accreditation requirements.
• You are an effective communicator and enjoy collaborating with people across different roles and teams.You are meticulously organized and detail-oriented.
• You are tech-savvy and open to learning and using new technologies.
• You are flexible and adaptable when facing new challenges and circumstances.
• You’re proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise.
• You thrive in a dynamic environment. You’re energized by a rapidly improving (and thus changing) workplace.

More Information