Contracting and Credentialing Specialist

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $60k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 7%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Dreem Health | Sunrise

WebsiteLinkedInAll Job Openings

11 - 50 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Dreem Health | Sunrise is a digital sleep clinic that provides end-to-end remote diagnosis and treatment for sleep disorders. Patients complete clinician-led video consultations, take award-winning home sleep tests, and receive personalized treatment plans — all coordinated from home and supported by licensed physicians and nurse practitioners. The service verifies insurance benefits, covers most of the U. S. , and integrates with in-lab testing and devices (e. g. , WatchPAT) when needed.

📋 Description

• Coordinate end-to-end provider credentialing and re-credentialing processes with commercial and government payers, including application submission • Prepare, submit, and track credentialing applications through CAQH and payer portals • Support payer contracting activities, including data collection, application submission, and follow-up • Submit and follow up on licensing activities with multi-state boards and provide updates and visibility to leadership • Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards • Monitor credentialing timelines and proactively address delays or deficiencies • Serve as a liaison between providers, internal departments, and payers regarding credentialing, licensing, and contracting status • Maintain credentialing databases and ensure data integrity across systems • Assist with audits, reporting, and credentialing metrics as requested • Support licensing needs guided by the organization’s growth • Stay current on payer requirements, regulatory changes, and industry best practices • Provide administrative and project support to the Senior Manager of Contracting & Credentialing as needed

🎯 Requirements

• Bachelor’s degree or equivalent experience preferred • 3+ years of experience in provider credentialing, licensing and/or managed care contracting • Sleep Clinic, Sleep device and Telehealth (multi-state) experience is a plus • Strong working knowledge of state boards, CAQH, payer portals, and credentialing workflows • Familiarity with ACHC, AASM, CMS, and state regulatory requirements • Strong attention to detail, organization, and follow-up skills • Ability to manage multiple priorities and deadlines in a fast-paced environment • Excellent written and verbal communication skills • Credentialing certification (CPCS or CPMSM) a plus

🏖️ Benefits

• Meaningful work that directly improves peoples’ lives • Be part of an international team across the US, France, Belgium • Annual team offsite • Comprehensive health benefits (medical, dental, vision) • FREE One Medical membership • 401(k) with company match • 20 days PTO + 10 paid holidays + 80 hours paid sick leave • Monthly phone and internet stipend