Client Partner - Provider Enrollment Jobs

New

Client Partner – Credentialing Specialist

Join our team in Manila as a Client Partner - Credentialing Specialist. We are s...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Strong knowledge of Payer Processes and Credentialing
Willingness to work continuously in night shifts
Must be fluent in English language
Willing to work in the night shift at our office in McKinley Hill, Taguig
Must have at least 1 year of experience in Credentialing processes for US healthcare customers

Job Responsibility

Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks
Conduct thorough review of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies
Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution
Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes

New

Referral Specialist

Enroll clients referred to Pomelo’s doula network by health plans, providers, an...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Excellent customer service and communication skills
Experience working with various healthcare referral systems
Are internet-connected, able to work remotely
Familiar with working with people assigned to Medicaid health plans
Passionate about changing the current landscape of healthcare
Strong organizational, documentation, and time-management skills
Ability to work independently and as part of a team

Job Responsibility

Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements
Document all incoming referrals and interactions in systems of record with timely and accurate updates
Match clients with existing doulas in the Pomelo Care doula network
Coordinate with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals
Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties
Manage inbound calls from potential clients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Achieve member enrollment goals as driven by company KPIs
Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals
Participate in training and development opportunities to stay current on healthcare trends and regulations

What we offer

Competitive healthcare benefits
Generous and flexible vacation policy

Fulltime

New

Senior Trainer – Business Training (Payer Services)

We are looking for a dedicated and experienced Senior Trainer to join our team, ...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Minimum 6 years of work experience
Strong understanding of compliance requirements and payer services processes
Exceptional communication and presentation skills
Ability to conduct engaging and effective training sessions
Strong organizational skills and attention to detail
Ability to work collaboratively with different teams and stakeholders
A proactive approach to problem-solving and process improvement
In-depth knowledge of the Revenue Cycle Management (RCM)
Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization
Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.

Job Responsibility

Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training
Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training
Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes
Deliver compliance courses for all employees to ensure adherence to regulatory requirements
Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure
Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies
Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles
Develop and conduct weekly training sessions based on new updates and error trends
Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels
Maintain extensive knowledge of all processes and sub-processes within Payer Services

New

Senior Client Success Manager

EnergyHub’s Client Success team launches and operates best-in-class programs for...

Location

United States

Salary:

120000.00 - 140000.00 USD / Year

EnergyHub

Expiration Date

Until further notice

Requirements

A completed Bachelor of Science or Bachelor of Arts degree
5-7 years of professional experience in consulting, technology services, or client success
Experience working in or with renewable energy, utilities, and grid services, or adjacent industries required
Familiarity with New York's utilities sector, including CAISO demand response programs (e.g., DRAM, ELRP) and state agency grant programs (e.g., New York's Energy Commission EPIC program), is strongly preferred
Experience with energy efficiency/demand-side management program marketing and project implementation methods

Job Responsibility

Project delivery: Handle key aspects of the daily operation of demand response programs, including revenue modeling, enrollment, post-event reporting, and executing creative ideas for program expansion
Proactively manage internal and external stakeholders to ensure all customer enrollment and grid flexibility commitments are met: Facilitate regular progress updates with utility counterparts, develop and deliver cadence reports, and ensure compliance with contract requirements and administrative tasks
Stakeholder management: Manage and influence key stakeholders internally and externally to implement key aspects of the project scope and ensure the timely exchange of administrative deliverables (e.g., invoices, monthly progress reports, device installations)
Thought leadership: Support EnergyHub’s partnership with the regulatory affairs team, for example, participate in working groups, trade organization committees, and select agency proceedings, often by writing comments and partnering on advocacy efforts with other companies
Be a trusted advisor who helps clients achieve their goals: Manage internal expectations as well as those of your clients and prioritize program tasks/activities using business judgment to balance internal objectives with client goals
Spend time understanding and driving clients’ needs and growth targets and guiding them through key decisions to design programs that align with these targets
Partner with Market Development to assist on successful renewals and expansions in your accounts
Creatively problem-solve when difficult situations arise and resolve operational challenges
Be an effective communicator and storyteller: Analyze and present key results, facilitate meetings, and deliver nuanced technical and data driven messages to clients
Maintain consistent and frequent communication with an array of stakeholders including clients and device partners to ensure efficient program implementation, review ongoing needs, and provide timely solutions and recommendations to help achieve program success

What we offer

100% paid medical for employees
401(k) with employer match
Casual environment
Flexibility to set your own schedule
Fully stocked fridge and pantry
Free Citi Bike membership
Secure bike rack
Gym subsidy
Paid parental leave
Education assistance program

Fulltime

Senior Eligibility Consultant

Senior Eligibility Consultant role at CVS Health focused on processing policy an...

Location

United States , East Lansing

Salary:

18.50 - 38.82 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

2+ years experience as an Eligibility Consultant
Proficiency in processing accurate and timely policy and eligibility data
Understands intent/end state and operates with minimal guidance
Ability to manage multiple tasks and shifting priorities
A team player capable of operating independently when needed
Provides accurate and timely results
Delegates and follows up as needed
Coaches and mentors others
Ability to manage high work volume and oversee a variety of incoming work flows
High School diploma, G.E.D. or equivalent experience

Job Responsibility

Process accurate and timely policy and eligibility data utilizing administration systems
Collaborate with business partners to understand enterprise initiatives and goals
Respond to eligibility and other enrollment related issues
Partner directly with clients, vendors, internal teams to resolve problems
Anticipate and prevent problems and roadblocks before they occur
Solve complex problems and take a new perspective on existing solutions
Design, develop, and deliver transitional training processes
Mentor junior team members
Assist with recommendations involving eligibility reporting solutions
Deliver consulting services in support of data discrepancies

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules

Fulltime

Strategic Account Executive

Strategic Account Executive position focused exclusively on Meritain Health's ph...

Location

United States

Salary:

60300.00 - 145860.00 USD / Year

CVS Health

Expiration Date

January 03, 2026

Requirements

3-5 years of relevant healthcare industry experience
Ability to travel 25% – 50%
Demonstrated ability to leading open enrollment strategy, including on-site client meetings
Strong communication skills
Communication experience with C-suite level individuals
Monitoring and reporting results of Performance Guarantees
Bachelor's degree in business or equivalent work experience

Job Responsibility

Developing strong personal and collaborative internal and external relationships to manage a book of business
Executes tactical components of the client management team's business plan for each customer
Responsible for managing daily Plan Sponsor/Producer Concerns
Executes on objectives aligned to the customer and organizations goals for a block of business
Offers creative product and service solutions to address client's evolving needs
Monitors on an on-going basis client's product lines and services to ensure client's needs are being met
Collaborates with Medical account team members and pharmacy support areas on more complex product or service issues
Collaborates cross-functionally to identify, implement, and monitor the customer's service efficiencies
Collaborates with team members new client implementation to manage the integration of client's and Meritain's internal organizations
Performs service-related tasks on existing customers and may participate in open enrollment

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources

Fulltime

Strategic Account Executive

Strategic Account Executive position focused exclusively on Meritain Health's ph...

Location

United States

Salary:

60300.00 - 145860.00 USD / Year

CVS Health

Expiration Date

February 06, 2026

Requirements

3-5 years of relevant healthcare industry experience with a focus in PBM/Pharmacy
Ability to travel 25%
Demonstrated ability to leading open enrollment strategy, including on-site client meetings
Strong communication skills
Communication experience with C-suite level individuals
Monitoring and reporting results of Performance Guarantees
Bachelor's degree in business or equivalent work experience

Job Responsibility

Developing strong personal and collaborative internal and external relationships to manage a book of business
Executes tactical components of the client management team's business plan for each customer
Responsible for managing daily Plan Sponsor/Producer Concerns
Executes on objectives aligned to the customer and organizations goals for a block of business
Offers creative product and service solutions to address client's evolving needs
Monitors on an on-going basis client's product lines and services to ensure client's needs are being met
Collaborates with Medical account team members and pharmacy support areas on more complex product or service issues
Collaborates cross-functionally to identify, implement, and monitor the customer's service efficiencies
Collaborates with team members new client implementation to manage the integration of client's and Meritain's internal organizations
Performs service-related tasks on existing customers and may participate in open enrollment

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources

Fulltime

Placement Analyst

Citi is looking for an intern to join the Corporate Banking team in Milan to sta...

Location

Italy , Milan

Salary:

Not provided

Citi

Expiration Date

Until further notice

Requirements

You are available to start from January 2026 or February 2026
You have a strong academics
You are currently enrolled in a University that can provide an internship agreement
Fluent in Italian and English
Solid analytical / quantitative skills, balance sheet knowledge, and high attention to details
Excellent communication / interpersonal skills and strong commitment
Genuine interest in the corporate finance business and curiosity to learn more

Job Responsibility

Conduct accounting and financial statement analysis, cash flow modeling, and capital markets analysis
Complete fundamental risk and credit analysis
Liaise with product partners
Assist in the presentation and development of new ideas to clients
Participate to live deals structuring

What we offer

Support and education on various topics
Opportunity for personal growth and career development

Fulltime

Client Partner - Provider Enrollment

Access Healthcare LLC

Location:
Philippines, Taguig City

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 14, 2025

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