Contracting & Credentialing Specialist; Healthcare Technology; A338

Puesto: Contracting & Credentialing Specialist (Healthcare Technology) - A338
Location: Tláhuac

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. Ideal 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  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…