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Credentialing Specialist (Remote)
About Pair TeamAt Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care-clinical, behavioral, and social-by partnering with organizations deeply connected to the communities we serve.We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.At Pair Team, we're not just delivering care-we're building the future of more equitable, community-driven healthcare.Our ValuesLead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.In the NewsForbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The MostTechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair TeamAxios: Pair Team collects $9M for Medicaid-based careAbout the OpportunityThe Credentialing Specialist supports Pair Team's growing central operations team by owning the end-to-end credentialing and re-credentialing process for providers and facilities. This includes maintaining up-to-date records, tracking licensure and certifications, submitting applications to health plans, and supporting audits to ensure full compliance with all regulatory and contractual requirements. Strong attention to detail and an operational mindset will be essential to ensuring providers can deliver care without interruption.What You'll DoOwn the end-to-end credentialing and re-credentialing processes for providers and facilitiesTrack and ensure timely completion of credentialing tasks based on regulatory and contractual deadlinesSubmit credentialing and enrollment applications to health plans for Care Team staffMonitor and document expirables, including licenses, malpractice insurance, DEA registration, and board certificationsMaintain accurate provider records and rosters across internal systems, payer directories, and audit documentationSupport delegated credentialing audits and internal compliance reviewsAssist with health plan contracting and network participation processes as neededSubmit and maintain individual and group enrollment applications for Medicaid and MedicareMaintain up-to-date information on group enrollment records What You'll Need2+ years of credentialing experience in a healthcare or managed care setting.Familiarity with credentialing standards (e.g., NCQA, URAC, CMS).High attention to detail and excellent organizational skills.Technical proficiency with CRM databases, basic Excel, Word, email, and video conferencing tools.Must have a quiet, HIPAA-compliant at-home work environment with reliable internet and cell phone accessBecause We Value YouSalary: $25/hourComprehensive health, vision & dental insurance401kMonthly $100 work from home expense stipend for your WFH daysFlexible vacation policy -- take the time you need to recharge!We provide all of the equipment needed for the rolePair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. Pair Team participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.The talent team will only reach out via email from @pairteam.com email addresses. We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries sent to recruiting@pairteam.com. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below.Thank you!