Enrollment Specialist (Provider Credentialing & Payer Enrollment)

• Location: Remote
• Company: Eddii, Inc.
• Time Type: Contractor
• Travel Requirements: 0% travel

eddii-Care is a telehealth endocrinology specialty clinic committed to providing innovative, compassionate, and engaging care for individuals managing diabetes and other endocrine conditions across all age groups. Through our flagship app, eddii, we empower patients with education, support, and rewards to make health management fun and effective. We are seeking an Enrollment Specialist to join our team and play a critical role in building and scaling our clinical network.

Position Overview

The Enrollment Specialist will own end-to-end provider credentialing, licensing, and payer enrollment for eddii-Care. This role works closely with physicians, nurse practitioners, other care providers, internal operations, and external payers to ensure clinicians are properly credentialed, compliant, and enrolled to deliver care in-network.

This is an all-in-one role initially, covering credentialing, licensure management, and payer enrollment, with the expectation that it will later evolve into specialized roles as the organization scales. The ideal candidate is highly organized, detail-oriented, proactive, and experienced navigating complex healthcare enrollment processes across multiple states and payers.

Key Responsibilities

Provider Credentialing & Onboarding

• Manage full lifecycle provider credentialing for physicians, NPs, and other clinicians from onboarding through re-credentialing.
• Collect, verify, and maintain provider documentation including licenses, board certifications, DEA registrations, NPI, malpractice insurance, CVs, and attestations.
• Coordinate credentialing with state boards, hospitals, and other credentialing bodies as needed.
• Serve as the primary point of contact for providers during onboarding and credentialing.

Licensure & Compliance Management

• Track and maintain active state licenses, DEA registrations, certifications, and expirations across multiple states.
• Proactively notify providers and internal teams of upcoming expirations and renewal requirements.
• Ensure compliance with federal, state, payer, and organizational requirements.
• Maintain accurate and audit-ready credentialing records.

Payer Enrollment & Network Participation

• Prepare, submit, and track provider enrollment applications with commercial payers, Medicare, Medicaid, and managed care plans.
• Manage CAQH profiles, PECOS enrollment, Medicaid portals, and payer-specific systems.
• Follow up with payers to resolve application issues, deficiencies, or delays.
• Maintain enrollment status tracking and report on in-network progress by provider and payer.

Cross-Functional Coordination

• Collaborate with clinical leadership, operations, finance, and legal teams to align credentialing and enrollment priorities with business needs.
• Support payer audits and credentialing reviews as needed.
• Continuously improve enrollment workflows, documentation standards, and tracking systems.

Qualifications

• Minimum of 2–4 years of experience in provider credentialing, payer enrollment, or healthcare operations.
• Hands-on experience with CAQH, PECOS, Medicare, Medicaid, and commercial payer enrollment processes.
• Strong understanding of provider licensing, credentialing standards, and compliance requirements.
• Exceptional organizational skills and attention to detail.
• Ability to manage multiple providers, states, and payers simultaneously.
• Strong written and verbal communication skills.
• Comfortable working independently in a remote, fast-paced startup environment.

Preferred Qualifications

• Experience credentialing and enrolling providers across multiple states.
• Familiarity with telehealth or virtual care organizations.
• Experience supporting endocrinology, primary care, or specialty practices.
• Experience building credentialing or enrollment processes from scratch.
• Comfort using spreadsheets, trackers, and internal systems to manage complex workflows.

Benefits

• Be part of a fast-paced, innovative environment, and mission-driven startup
• Flexible remote work environment
• Competitive pay
• Chance to make a meaningful impact in the lives of individuals managing chronic conditions