远程工作雷达

认证经理

Credentialing Manager

职能支持限定地区(需当地身份)
公司Fay
薪资$60,000 - $120,000/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Contractor
发布时间今天
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

关于Fay

在Fay,我们的使命是将营养作为预防性医疗的基础支柱,以规模化的方式改善结果、可及性和可负担性。我们正在构建人工智能驱动的基础设施,以改变预防性医疗。认为这很大胆吗?我们才刚刚开始。

如今,Fay是一个三方市场,连接提供者、患者和保险公司,以革新预防性护理的交付方式。我们的B2B2C一站式解决方案使营养师能够提供高质量、负担得起的营养护理,帮助患者掌控自己的健康,并使保险公司能够打造更健康的会员群体。营养是我们起点,而不是终点。随着我们的成长,我们正在构建的平台将扩展到预防性健康和保健的新领域。

我们自豪地成为健康科技领域增长最快的公司之一,得到了像General Catalyst、Forerunner、1984和Goldman Sachs这样的定义行业规则的投资者的支持。

准备好利用人工智能驱动的技术来改变预防性护理,并对健康产生真实的影响吗?让我们聊聊。

关于这个职位
我们正在寻找一位认证经理加入我们的认证团队,帮助保持我们的营养师网络的注册流程顺畅。这是一个注重实践的管理职位,专注于领导承包商和供应商,高效准确地在一系列保险公司组合中执行认证和注册工作。
此职位最初为合同制,根据表现和业务需求有转为全职的强烈潜力。适合希望快速证明自己、从第一天起就承担真实流程的责任,并随着认证职能的扩展成长为更大角色的人选。
你将向首席提供者运营官汇报。

你将负责的工作

  • 在指定的一组保险公司中执行提供者的注册和认证申请——CAQH ProView、主要来源验证、保险公司门户提交和后续跟进。
  • 跟踪申请状态和处理时间,在它们成为瓶颈之前标记延迟或缺失的文件。
  • 保持电子表格/仪表板中的整洁、准确跟踪——状态日志、SLA跟踪器、拒绝/重新提交跟踪,并确保数据及时且无错误。
  • 解决出现的问题——缺失的NPI数据、执照差异、保险公司门户的特殊问题、被拒绝的申请,并推动其解决,而不仅仅是标记它们。
  • 使用AI工具加快重复性或研究密集型工作
查看英文原文

About Fay

At Fay, our mission is to make nutrition a foundational pillar of preventative care, improving outcomes, accessibility, and affordability at scale. We're building AI-powered infrastructure to transform preventative healthcare. Think that's bold? We're just getting started.

Today, Fay is a three-sided marketplace connecting providers, patients, and payers to revolutionize preventative care delivery. Our b2b2c business-in-a-box solution empowers dietitians to deliver high-quality, affordable nutrition care, helps patients take control of their health, and enables payers to build healthier member populations. Nutrition is our starting point, not the finish line. The platform we're building will expand into new areas of preventative health and wellness as we grow.

We're proud to be one of the fastest-growing companies in healthtech, backed by category-defining investors like General Catalyst, Forerunner, 1984, and Goldman Sachs.

Ready to leverage AI-driven technology to transform preventative care and make a real-world impact on health? Let's talk.

About This Role
We're looking for a Credentialing Manager to join our credentialing team and help keep our dietitian network's enrollment pipeline moving. This is a hands-on, manager role focused on leading contractors and vendors, executing credentialing and enrollment work accurately and efficiently across a portfolio of payers.
This engagement starts as a contract role, with strong potential to convert to full-time based on performance and business need. It's a great fit for someone who wants to prove themselves quickly, take ownership of real workflows from day one, and grow into a larger role as the credentialing function scales.
You'll report to the Head of Provider Operations.
What You'll Be Doing

  • Execute provider enrollment and credentialing applications across a defined set of payers — CAQH ProView, primary source verification, payer portal submissions, and follow-up.
  • Track application status and turnaround times, flagging delays or missing documentation before they become bottlenecks.
  • Maintain clean, accurate tracking in spreadsheets/dashboards — status logs, SLA trackers, denial/resubmission tracking — and keep data current and error-free.
  • Troubleshoot issues as they come up — missing NPI data, license discrepancies, payer portal quirks, rejected applications — and drive them to resolution rather than just flagging them.
  • Use AI tools to speed up repetitive or research-heavy work (e.g., drafting follow-up communications, summarizing payer requirements, organizing data) where it makes sense.
  • Partner with the credentialing and RCM teams to make sure enrollment status is understood downstream and doesn't hold up billing or provider go-live.

Your Skills & Experience
Required

  • Hands-on experience with provider credentialing and enrollment — you've actually done the work: CAQH, payer portals, license verification, application submission and tracking.
  • Solid Excel/spreadsheet skills — comfortable with formulas, filtering, pivot tables, and keeping large trackers clean and accurate. You don't need to be an analyst, but you should be comfortable with data.
  • An owner's mindset — you don't wait to be told what to do. You spot problems, dig into why something broke, and drive it to resolution on your own. That includes drafting or improving SOPs as you go, troubleshooting issues directly, and picking up the phone to call a payer when that's the fastest way to unblock something. Comfortable operating in a fast-moving environment where process is still being built.
  • Strong attention to detail — credentialing errors are costly, so accuracy and thoroughness matter.

Preferred

  • Experience using AI tools (Claude, ChatGPT, or similar) to speed up day-to-day work — but a strong interest in learning to use them well is also welcome if you don't have direct experience yet.
  • Experience credentialing telehealth providers — particularly dietitians, therapists, or other non-physician specialties.
  • Familiarity with major commercial and government payer portals (Aetna, BCBS, Cigna, UHC, Humana, Medicare/Medicaid).
  • Background at a high-growth startup or digital health company.

Compensation Range

$60,000—$120,000 USD

Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Originally posted on Himalayas

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