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HEALTHCARE OPERATIONS & CREDENTIALING COORDINATOR - Pruventa Health

Job

First Call Medical Services

Remote

$65,181 Salary, Full-Time

Posted 1 week ago (Updated 2 days ago) • Actively hiring

Expires 7/12/2026

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Job Description

HEALTHCARE OPERATIONS & CREDENTIALING COORDINATOR
Pruventa Health Remote — Work From Home |
Full-Time Salary:
$52,000 - $68,000 per year ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ABOUT US
Pruventa is a specialty care company that delivers care to patients in skilled nursing and long term care facilities across the United States. If you want to help build something meaningful from the ground up, this role is for you. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
THE OPPORTUNITY
We are hiring a Healthcare Operations & Credentialing Coordinator to join our founding team. This is a foundational role — you will be one of the first operational hires at Pruventa, which means you will have real ownership and real impact from day one. You will manage the full provider credentialing lifecycle — from Medicare and Medicaid enrollment through individual facility credentialing — while also supporting the operational setup and administrative infrastructure that allows our clinical team to focus on patient care. This is a remote position. You will work closely with Pruventa leadership, our clinical providers, and our external partners including nursing home facility administrators, payer representatives, and state licensing boards. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
WHAT YOU WILL DO
Provider Credentialing & Enrollment ⁠ ⁠Manage Medicare Part B enrollment for all providers across multiple Medicare Administrative Contractors (MACs) ⁠ ⁠Complete Medicaid enrollment applications for providers in multiple states — beginning with our 12-state launch footprint ⁠ ⁠Build and maintain CAQH profiles for all providers ⁠ ⁠Track license expiration dates, DEA registrations, malpractice certificates, and board certifications for every provider ⁠ ⁠Manage re-credentialing timelines and renewals proactively ⁠ ⁠Serve as the primary point of contact with payer representatives during the enrollment process ⁠ ⁠Transition insurance credentialing functions from our current external vendor to in-house management Facility Credentialing ⁠ ⁠Complete provider credentialing applications for individual skilled nursing and long term care facilities across our network ⁠ ⁠Communicate with facility medical staff offices to track application status and follow up on outstanding items ⁠ ⁠Maintain organized credentialing files for each provider at each facility ⁠ ⁠Ensure all facility credentialing requirements are met before providers see patients at a new location Provider Onboarding ⁠ ⁠Collect and verify all required documentation from new providers at time of hire — licenses, certifications, malpractice coverage, board certifications, DEA registration ⁠ ⁠Initiate credentialing applications on day one of each provider's employment or contractor engagement ⁠ ⁠Orient new providers to Pruventa's operational systems, documentation platforms, and administrative processes ⁠ ⁠Maintain complete and audit-ready provider files Operations & Administration ⁠ ⁠Support the setup of Pruventa's operational infrastructure — workflows, tracking systems, communication protocols, and administrative processes ⁠ ⁠Build and maintain a credentialing status dashboard providing real-time visibility into enrollment progress across all providers and all states ⁠ ⁠Coordinate scheduling and logistics for provider interviews and onboarding activities ⁠ ⁠Support job posting and recruiting coordination as needed ⁠ ⁠Communicate professionally with nursing home facility administrators, state licensing boards, and payer representatives on behalf of Pruventa leadership ⁠ ⁠Identify operational inefficiencies and propose improvements ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
WHAT WE ARE LOOKING FOR
Required:
⁠ ⁠Experience in healthcare administration, medical office operations, or a related field — we are open to all experience levels ⁠ ⁠Familiarity with medical terminology and healthcare provider types (MD, DO, NP, PA) ⁠ ⁠Strong organizational skills — you can manage multiple tasks, deadlines, and priorities simultaneously without dropping anything ⁠ ⁠Excellent written and verbal communication skills — you will be representing Pruventa in writing and by phone with payers, facilities, and state agencies ⁠ ⁠Comfort with technology — you can learn new platforms quickly and are proficient in Microsoft Office or Google Workspace ⁠ ⁠Self-directed work style — this is a remote role and you will need to manage your own schedule and priorities effectively ⁠ ⁠Attention to detail — credentialing errors cause revenue delays; accuracy is non-negotiable Preferred (not required): ⁠ ⁠Prior experience in provider credentialing, medical staff services, or payer enrollment ⁠ ⁠Familiarity with Medicare or Medicaid enrollment processes ⁠ ⁠Knowledge of CAQH, credentialing software (Modio, Medallion, symplr), or practice management systems ⁠ ⁠Experience working in a startup or fast-growth healthcare company ⁠ ⁠NAMSS (National Association Medical Staff Services) certification (CPCS or CPMSM) — or interest in obtaining certification ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
WHAT WE OFFER
⁠ ⁠
Salary:
$42,000 - $58,000 per year based on experience ⁠ ⁠Performance bonus tied to credentialing milestone achievement ⁠ ⁠Remote — fully work from home with flexible scheduling ⁠ ⁠Mileage reimbursement at IRS standard rate if travel is required ⁠ ⁠Health insurance contribution ⁠ ⁠Paid time off ⁠ ⁠The opportunity to be a founding team member of a company building something genuinely new in healthcare — with real ownership of your work from day one ⁠ ⁠Clear growth path — as Pruventa scale, this role grows with the company ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
WHY THIS ROLE MATTERS
Provider credentialing is not a back-office function at Pruventa — it is the single most critical operational process in the company. Until a provider is credentialed, not a single patient can be seen and not a single claim can be submitted. The person in this role directly controls how fast Pruventa can launch, how quickly revenue begins, and how effectively we can scale across our 12-state nursing home network. You will not be maintaining someone else's system. You will be building ours. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
HOW TO APPLY
Submit your resume and a brief note telling us why this role interests you. We review every application and respond to every candidate. Pruventa Health Remote — United States Equal Opportunity Employer ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Pay:
$52,000.00 - $68,000.00 per year
Work Location:
In person