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Nourish · 1 week ago

Credentialing Associate

New York, NY

Full-time

Hybrid

Mid Level

3+ years exp

Nourish is on a mission to improve people’s health by making it easy to eat well. The Credentialing Associate will support all credentialing operations, ensuring a smooth process for new and existing providers while collaborating with various teams to enhance workflows.

AppsHealth CareNutritionTelehealth

Culture & Values

Responsibilities

Own the end-to-end cycle of credentialing applications for new and existing providers under our contracts, ensuring all requirements are met for successful enrollment

Assist in building NCQA compliant ongoing monitoring and delegation programs for the Nourish network of RDs

Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows

Develop SOPs (detailed guides) for new payer contracts and other credentialing processes, and own the implementation across the team

Assist in managing/uptraining our contract credentialing team

Help track credentialing metrics and report on progress, roadblocks, and other updates; provide suggestions on how to make our reporting more robust & actionable

Provide direct support to our dietitians and payers, and own/manage all RD credentialing communications

Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed

Qualification

Credentialing processesProvider enrollmentNCQA complianceProcess optimizationTech-savvyEffective communicationDetail-orientedProblem-solvingAdaptability