Job Overview
Location
Remote
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 21, 2026
Full Job Description
📋 Description
- • Compile, maintain, and verify provider data and profiles for credentialing and enrollment processes across delegated and non-delegated payors
- • Accurately and efficiently complete provider enrollment and re-credentialing applications for commercial and government insurance plans
- • Interact professionally with providers and provider liaisons to request, obtain, and validate necessary documentation and information
- • Monitor and update expiring provider licenses, board certifications, and professional credentials to ensure continuous compliance
- • Track provider enrollment details including effective dates, ID numbers, and plan-specific requirements across multiple payor systems
- • Conduct audits of Commercial and Medicaid plan directories to ensure accuracy and currency of provider information
- • Research and resolve provider enrollment issues promptly to minimize disruptions in provider participation
- • Maintain strict confidentiality of sensitive provider data in accordance with regulatory and organizational standards
- • Perform duties in a high-volume, fast-paced environment while managing multiple competing deadlines
- • Utilize Symplr and Intellicred software programs to manage credentialing workflows and documentation
- • Prepare and present PowerPoint and Excel-based reports on credentialing status, enrollment trends, and compliance metrics
- • Stay current on industry regulations, including NCQA requirements, and apply updates to credentialing practices
- • Ensure compliance with CAQH, AMA, DEA, CMS, PECOS, OIG, ABMS, AOA, and OPSED standards in all provider enrollment activities
- • Collaborate with internal teams to support seamless integration of new providers and ensure timely onboarding
- • Assist with ad hoc projects and duties as assigned by management to support organizational goals
🎯 Requirements
- • 2 years of administrative background in a healthcare setting
- • 2 years of credentialing and re-credentialing experience
- • Knowledge of CAQH, AMA, DEA, CMS, PECOS, OIG, ABMS, AOA, OPSED
- • Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook)
- • Experience with Symplr and Intellicred software programs
- • Strong working knowledge of NCQA regulations and requirements
🏖️ Benefits
- • Competitive base compensation
- • Annual bonus potential
- • Health benefits effective on start date
- • Health & Wellness Program: up to $300 per quarter for overall well-being, available on start date
- • 401K plan effective on the first of the month after start date; 100% match of up to 4% of annual salary
- • Unlimited (or generous) paid "Vytal Time" and 5 paid sick days after first 90 days
- • Company-paid STD/LTD
- • Technology setup provided
- • Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Vytalize Health Inc.
Vytalize Health is a value-based care platform that partners with independent primary-care physicians to improve outcomes and lower costs for Medicare beneficiaries. The company provides physician groups with technology, analytics, care management, and financial infrastructure to transition from fee-for-service to risk-bearing arrangements. Services include remote patient monitoring, chronic-care management, coding support, and shared-savings programs. Founded in 2014 and headquartered in Hoboken, New Jersey, Vytalize Health aims to strengthen independent practices while enhancing patient care for seniors.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
Similar Opportunities
Ensemble Health Partners LLC
1 month ago
Sartorius AG
3 months ago
WeTravel, Inc.
3 months ago
WeTravel, Inc.
3 months ago