Credentialing Associate
Nourish
About Us
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 NYC-based or remote candidates.
Key Responsibilities:
- Own the end-to-end cycle 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 and other credentialing processes, and own the implementation across the team.
- 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.
- Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed.
You’ll love this role if:
- You are detail-oriented and organized. You enjoy keeping things on track and meeting deadlines. You’re comfortable managing multiple tasks/wearing many hats and prioritizing effectively.
- You’re proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise. You welcome the opportunity to learn new flows or help optimize our operations.
- You approach challenges with a problem-solving mindset, adapting to obstacles and finding effective solutions to keep progress on track. Overcoming roadblocks and finding creative solutions energizes you.
- You thrive in a dynamic environment. You’re energized by a rapidly improving (and thus changing) workplace. Changes to processes and workflows don’t stress you out—you see them as opportunities to learn and grow.
- You’re passionate about Nourish’s mission. You’re interested in nutrition and are eager to contribute to solving America’s healthcare crisis.
We’d love to hear from you if:
- You have 3+ 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.