Industry
Healthcare Technology / Practice Operations
Work Arrangement
100% Remote — must overlap with 9:00 AM – 5:00 PM Pacific Time, Monday–Friday
Job Type
Full-time
Work Schedule
Monday–Friday, 9:00 AM – 5:00 PM Pacific Time
Locations:
Philippines, Latin America, South Africa, Anywhere Remote (Pacific Time availability required)
About Pearl Talent
Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.
Hear why we exist, what we believe in, and who we're building for:
WATCH HERE
Why Work with Us?
At Pearl, we're not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, be challenged, and build long-term, meaningful careers.
About the Company
Our client is a rapidly growing healthcare technology company enabling Nurse Practitioners to launch and operate independent primary care practices. Their platform handles operational infrastructure, including credentialing and insurance billing, allowing providers to focus on patient care.
Role Overview
The Contracting & Credentialing Specialist owns end-to-end provider credentialing and payer enrollment across multiple US states. You will manage credentialing pipelines, group contract enrollment, and payer communications, ensuring providers launch on time. This is a highly autonomous, execution-heavy role where you proactively identify blockers, escalate when necessary, and build SOPs from scratch. Idóneo candidates thrive in fast-paced, high-growth environments, think like owners, and can operate independently without detailed instructions.
Your Impact:




Ensure timely provider launches by managing credentialing and enrollment pipelines across multiple states
Reduce time-to-launch by proactively identifying and resolving credentialing blockers
Maintain accurate master tracking systems and communicate updates proactively
Support expansion into new states and payer relationships
Contribute to building scalable processes and documentation for the credentialing function
Core Responsibilities
Provider Credentialing — 35%
Manage end-to-end credentialing and recredentialing of Nurse Practitioners with commercial, Medicare, and Medicaid payers
Prepare and submit applications via CAQH, PECOS, Availity, and payer-specific portals
Track application status and proactively follow up with payers to accelerate approvals
Identify and escalate credentialing blockers to leadership before they impact launch dates
Maintain CAQH revalidation and ensure provider profile accuracy
Payer Enrollment — 30%
Prepare and submit group-level enrollment and contracting materials for new markets
Enroll providers under existing group contracts, ensuring correct payer attachment
Coordinate provider additions, location changes, and tax ID updates across payers
Operational Tracking & Reporting — 20%
Maintain master credentialing tracker in Google Sheets with accurate, current data
Communicate credentialing timelines and blockers proactively via Slack
Prioritize workflows based on provider launch dates
Payer Contracting Support — 10%
Support onboarding of providers under group payer contracts
Assist with document collection, submission, and record-keeping
Maintain organized records of payer contracts and related documentation
SOP Development & Cross-Functional Coordination — 5%
Build SOPs and call scripts for payer communication from scratch




Serve as internal point of contact for credentialing and enrollment questions
Coordinate with in-house billing team to align on claim flags and provider status
Must-Haves (Required)
3+ years experience in provider credentialing, payer enrollment, or payer contracting
Experience across at least 3 US states
Experience credentialing Nurse Practitioners
Hands-on experience with group contract enrollment
Proficiency with CAQH, PECOS, Availity, and payer portals
Strong spoken English — comfortable making payer phone calls
Highly organized with ability to manage multiple workflows simultaneously
Self-directed and proactive; able to escalate blockers and suggest solutions
Nice-to-Haves (Preferred)
Experience in Arizona, Washington, Oregon, Colorado, Utah, Minnesota, or Nevada
Familiarity with delegated credentialing processes
Background in primary care or Nurse Practitioner-specific credentialing
Experience in startup, MSO, or provider network environments
Experience building SOPs or process documentation
Tools Proficiency
Must-Haves (Required)
CAQH, PECOS, Availity, payer-specific portals, Google Sheets, Slack, Notion
Nice-to-Haves (Preferred)
Credentialing management software or platforms (open to recommending tools)
Competitive Salary:
Based on experience and skills
Remote Work:
Fully remote—work from anywhere
Performance Bonus:
Based on data accuracy, reporting timeliness, and overall sales efficiency
Team Incentives:
Recognition for maintaining 100% CRM hygiene and on-time reporting
Generous PTO:
In accordance with company policy
Health Coverage for PH-based talents:
HMO coverage after 3 months for full-time employees
Direct Mentorship:
Guidance from international industry experts
Learning & Development:
Ongoing access to resources for professional growth
Global Networking:
Connect with professionals worldwide
Our Recruitment Process
Application
Screening
Skills Assessment
Top-grading Interview
Client Interview
Job Offer
Client Onboarding
Ready to Join Us?
If this role aligns with your skills and goals, apply now to take the next step in your journey with Pearl.

📌 Contracting & Credentialing Specialist (Healthcare Technology) (Quilmes)
🏢 Pearl
📍 Quilmes