Provider Enrollment Specialist

Posted Yesterday
Be an Early Applicant
Hiring Remotely in United States
Remote
22-35 Hourly
Junior
Artificial Intelligence • Healthtech • Software • Telehealth
Solving healthcare capacity. Powering boundless, seamless care experiences. Streamlining virtual & in-person care.
The Role
Manage end-to-end provider enrollment and re-credentialing for commercial and government payers during a six-month contract. Maintain CAQH profiles, NPI data, TIN attachments, and enrollment files; track applications, resolve documentation gaps, secure effective dates, and prevent coverage lapses. Serve as the primary contact for MCOs and health plan representatives while ensuring compliance with payer, state licensing, NCQA, and URAC requirements.
Summary Generated by Built In
About Fabric Health
At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.

We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.

Learn more: About Us | News & Press | LinkedIn | Careers

About the Role
Delivering rapid, high-quality care requires our clinicians to be fully credentialed and ready to practice. Payer enrollment delays can bottleneck that mission. As a Provider Enrollment Specialist, you will step in for a focused, six-month contract to clear existing enrollment backlogs and streamline our payer application workflows.

You will own the end-to-end credentialing process, working directly with Managed Care Organizations (MCOs) and state Medicaid programs. This role requires navigating complex payer portals, managing CAQH profiles, and acting as the primary point of contact for health plan representatives.

By removing administrative friction, you will ensure our practitioners maintain active network participation. Your work directly accelerates our ability to deploy clinical capacity where it is needed most.

What You'll Do
  • Executing initial enrollment applications and re-credentialing packets with commercial and government healthcare payers.
  • Maintaining, updating, and attesting CAQH profiles, NPI data, and Tax Identification Number (TIN) attachments to prevent coverage lapses.
  • Tracking pending enrollment applications with MCOs and health plans to expedite processing and secure official effective dates.
  • Ensuring all provider enrollment files meet MCO standards and regulatory guidelines from bodies like NCQA and URAC.
  • Serving as the primary operational contact for health plan enrollment representatives regarding application status, roster updates, and credentialing inquiries.

Why You Might Be a Good Fit
  • You are highly organized and rarely let details slip through the cracks.
  • You navigate complex bureaucratic systems with patience and persistence.
  • You thrive in focused, project-based work where you can see immediate results.
  • You communicate clearly and concisely with clinicians, internal teams, and external payers.

This Might Not Be The Right Fit If...
  • You prefer a permanent, long-term role rather than a six-month contract.
  • You get frustrated by repetitive administrative processes and frequent payer follow-ups.
  • You need a highly structured, slow-moving environment to feel comfortable.

Your Qualifications
  • One to three years of experience in healthcare provider credentialing, payer enrollment, or managed care onboarding.
  • High school diploma or GED.
  • Demonstrated proficiency with payer enrollment portals like Availity, PECOS, and state Medicaid systems.
  • Deep understanding of payer-specific credentialing rules, state licensing standards, and enrollment timelines.
  • Strong analytical skills to identify missing documentation and resolve enrollment delays independently.

Bonus Points
  • Bachelor’s degree.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification.
  • Experience working with virtual care platforms or multi-state telehealth providers.

The national pay range for this role is $22.00 – $35.00 per hour. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.

Recruitment Fraud Alert: Protect Yourself
Fabric Health is aware of scammers attempting to impersonate employers. To ensure that any recruiting contact you receive is legitimate, please adhere to the following:

  • Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
  • Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
  • Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
  • Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
  • Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
  • Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.

If you question the validity of a contact or receive a suspicious message, do not click any links. Please submit a report via this link: https://forms.gle/N1AGAiXcAL2W57H9A

Please note: The security inbox is for reporting fraudulent activity only. Do not email this address for application status updates or to share application materials, as these will not be reviewed. Applications are only accepted and reviewed if submitted through our official application portal, and no application status information will be provided via the security email. 

Skills Required

  • One to three years of experience in healthcare provider credentialing, payer enrollment, or managed care onboarding
  • High school diploma or GED
  • Proficiency with payer enrollment portals such as Availity, PECOS, and state Medicaid systems
  • Understanding of payer-specific credentialing rules, state licensing standards, and enrollment timelines
  • Strong analytical skills to identify missing documentation and independently resolve enrollment delays
  • Bachelor's degree
  • Certified Provider Credentialing Specialist certification
  • Certified Professional Medical Services Management certification
  • Experience with virtual care platforms or multi-state telehealth providers

Fabric Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Fabric Health and has not been reviewed or approved by Fabric Health.

  • Fair & Transparent Compensation Pay is considered aligned with role expectations, with explicit remarks that compensation reflects the demands of the work and “pay rate” highlighted as a strength.
  • Leave & Time Off Breadth Time off is described as generous, with unlimited PTO in some roles and a company holiday period that includes a full week off at year‑end.
  • Equity Value & Accessibility Equity is available to full‑time employees, and multiple role descriptions highlight stock options as part of total rewards.

Fabric Health Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Philadelphia, PA
304 Employees

What We Do

Fabric Health is a pioneering care access platform dedicated to solving one of healthcare's most pressing challenges: operational capacity. We equip health systems, health plans, employers, and brokers with consumer-grade solutions designed to make healthcare faster, smarter, and more accessible at the exact moment of need. Our core mission is to empower boundless care through seamless, intuitive experiences that benefit both patients and providers. At the heart of our offering is a commitment to streamlining the entire care journey. We achieve this by integrating and optimizing every touchpoint from initial intake and intelligent triage to precise routing and effective treatment, encompassing both virtual and in-person care modalities. Our platform is meticulously crafted to enhance operational efficiency, addressing the complex logistical problems that often hinder timely and quality care delivery. What makes Fabric Health uniquely effective is our deep understanding of the patient and clinician experience. We develop robust automation workflows that significantly reduce administrative burdens on healthcare professionals, allowing them to focus invaluable time on what matters most: direct patient care. By automating repetitive tasks and streamlining processes, we enable clinicians to work more efficiently, leading to reduced burnout and a higher quality of service. Our comprehensive suite of features and services includes an advanced AI Assistant that guides users, dynamic Engagement & Pathways to ensure continuity of care, a versatile Virtual Care Platform for remote consultations, and dedicated Virtual Care Services for immediate support. Furthermore, our Intake & Care Guides simplify initial patient interactions, while our Enterprise Features provide scalable solutions for large organizations. Ultimately, Fabric Health drives tangible outcomes: reduced care costs, expanded access to care, and the delivery of consistent, higher-quality patient experiences. We are relentlessly focused on creating better, more intuitive interactions for consumers and equipping providers with the tools they need to deliver exceptional care efficiently. Every solution we develop is a testament to our dedication to transforming healthcare delivery, ensuring that timely, compassionate, and effective care is within everyone's reach.

Why Work With Us

Discover a culture of innovation, collaboration, and continuous growth. We offer a dynamic, remote-first environment where talented individuals thrive by tackling meaningful challenges. Contribute to cutting-edge solutions, work alongside inspiring peers, and truly make a difference in a flexible setting. Grow your career with purpose.

Similar Jobs

In-Office or Remote
Dallas, TX, USA
39547 Employees
In-Office or Remote
75082, Richardson, TX, USA
1200 Employees
20-25 Hourly

Broadway Ventures, LLC Logo Broadway Ventures, LLC

Provider Enrollment Specialist

Information Technology • Consulting • Cybersecurity
Remote
United States
26 Employees
19-24 Hourly
In-Office or Remote
Lafayette, LA, USA
5001 Employees
15-21 Hourly

Similar Companies Hiring

Kepler  Thumbnail
Artificial Intelligence • Fintech • Software
New York, New York
9 Employees
Onshore Thumbnail
Artificial Intelligence • Fintech • Software • Financial Services
New York, New York
60 Employees
Revel.io Thumbnail
Aerospace • Hardware • Robotics • Software
US
50 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account