Provider Credentialing Specialist Jobs

Pomelo Care

Location:
United States

Category:
-

Contract Type:
Not provided

Salary:

55000.00 - 75000.00 USD / Year

Save Job

Apply Position

Job Description:

Work with the New Ventures team to complete health plan credentialing accurately & efficiently.

Job Responsibility:

Complete group & practitioner health plan credentialing on behalf of Pomelo’s telehealth clinic & care team
Track applications from submission to approval, contracting, and agreement, ensuring cross-functional visibility into key milestones & timelines
Proactively mitigate application delays & denials
Rigorously follow up on any delays and/or denials to right-size
Collaborate with Pomelo licensing, credentialing, and enrollment team to ensure proper clinician licensure & up-to-date CAQH profiles, to help expedite health plan credentialing
Collaborates with care team of nurses, nurse practitioners, doctors, therapists & registered dietitians to support navigation & answer questions about clinician credentialing applications

Requirements:

2-4 years of experience in a high volume, credentialing specialist role
Deep expertise with commercial health plan credentialing processes, including health plan portals & CAQH
Highly organized with a strong attention to detail
A proactive and resourceful problem-solver who is comfortable navigating ambiguity and independently seeks out answers and solutions
An accountable and collaborative team player with excellent communication skills, both written and verbal
An expert at prioritization & time management, who proactively shares deliverable timelines and roadblocks

What we offer:

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Additional Information:

Job Posted:
December 11, 2025

View All Jobs In This Company

Job Link Share:

Welcome to CrawlJobs.com –
Your Global Job Discovery Platform

At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.

Provider Credentialing Specialist