Remote Optum Rn Jobs in Orlando, FL (NOW HIRING)

Reporting directly to our Credentialing Manager, the Credentialing / Enrollment Senior Associate will support all credentialing or payer enrollments 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 is an entry point into our cred/enrollment org - We're hiring for a number of roles and will make sure we match you with the best fit opportunity.

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 fully remote or NYC-based candidates.

• [If Credentialing Senior Associate] Assist in building the credentialing program for the Nourish network of Medical Doctors, Nurse Practitioners, Therapists and RDs.
• [If Enrollment Senior Associate] Own the end-to-end cycle of payer enrollment applications for new and existing providers under our contracts, ensuring all requirements are met for successful enrollment.
• 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 payer enrollments processes or provider credentialing, and own the implementation across the team.
• Assist in managing/uptraining our contract credentialing team.
• Help track credentialing / payer enrollments 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.
• Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed.

You have 3+ years of experience in a payer enrollment and/or credentialing role.

• You are familiar with payer enrollment and credentialing processes and payer and accreditation requirements, across provider types, including Registered Dietitians, Medical Doctors, Nurse Practitioners, and therapists .
• 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.