Credentialing Associate
About Us
Nourish is on a mission to improve people’s health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world. Food can be medicine: working with a Registered Dietitian is one of the most effective interventions available, but 1% of eligible Americans use their covered benefits.Nourish is building an AI-native, patient-friendly healthcare system centered on nutrition that improves outcomes, lowers costs, and helps people live healthier, longer lives. We launched three years ago, are live in all 50 states, and already have thousands of dietitians and hundreds of thousands of patients on the platform.We are growing quickly, have partnered with national health insurance companies and provider groups, and have raised $115M from top-tier VCs including JP Morgan Growth Equity, Thrive Capital, Index Ventures, Y Combinator, Maverick Ventures, Box Group, Atomico, G Squared, and Pinegrove Venture Partners. Our angel investors include world-class healthcare founders from Oscar, Rightway Health, Headway, Spring Health, and Alto Pharmacy, as well as soccer star Alex Morgan and the founders from Olipop and Notion.Learn more about us here and read about our recent Series B here.About the Role
Reporting to our Credentialing Lead, the Credentialing Associate will support all credentialing operations at Nourish, including assisting with day-to-day tasks, maintaining and optimizing workflows, developing net-new processes as we expand into new payers and functions, and helping to ensure the credentialing process runs smoothly.
This role is critical for many of Nourish’s core operations; you’ll get the chance to work cross-functionally with our RCM, Payer Ops, Clinical Ops, and Customer Experience teams. The work you do will positively impact all stakeholders at Nourish—our patients (ensuring they get the life-changing care they need), our dietitians (providing a seamless credentialing experience), our payers, and more.
This role is full-time and open to remote or in Nourish’s NYC office in the heart of Union Square.
Key Responsibilities:
- Own the end-to-end cycle completion 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 (detailed guides) and other credentialing processes, and own the implementation across the team..
- Collaborate with team members to prioritize tasks and meet deadlines for application execution and follow-ups. 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 Assist in managing RD and payer inquiries
- Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed..
We’d love to hear from you if:
- You have 4+ years of experience in a credentialing and/or provider enrollment role.
- You are familiar with credentialing processes and payer and accreditation requirements.
- You are an effective communicator and enjoy collaborating with people across different roles and teams.You are meticulously organized and detail-oriented.
- You are tech-savvy and open to learning and using new technologies.
- You are flexible and adaptable when facing new challenges and circumstances.
- You’re proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise.
- You thrive in a dynamic environment. You’re energized by a rapidly improving (and thus changing) workplace.
More Information
Interview Process Mission Vision SuccessNourish-Clinical-Philosophy-7687ecbddc064a5ca5cce0ed780c0ced?pvs=21" class="postings-link">Nourish Clinical PhilosophyValuesNourish-Exists-84442a27abc34e2b95b2ad3d3dfb1214?pvs=21" class="postings-link">Why Nourish ExistsTeamCompensation BenefitsHow We WorkPlease note that you must be legally authorized to work in the U.S. for this position.
Originally posted on Himalayas
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