Contracting & Credentialing Associate

About Josi Health

Josi Health is a fast-growing remote healthcare company focused on making autism & ADHD diagnostic evaluations and therapy more accessible, faster, and less stressful for families. We operate across 40+ states and work with major insurance carriers. Our clinical network of Licensed Psychologists (PsyD/PhD) and Therapists (LCSWs, LPCs, LMHCs) must be flawlessly credentialed and enrolled across all major insurance carriers to ensure care delivery is fully reimbursable.

About the Role

We are seeking a highly organized, details-driven, and proactive Contracting & Credentialing Associate. In this role, you will own the end-to-end provider credentialing and payer enrollment lifecycle. You will act as the master coordinator ensuring our clinical team members are credentialed quickly and with zero gaps in coverage.

This is not a slow-paced data-entry job. You will run our credentialing pipeline like a high-efficiency production line – tracking strict timelines, managing provider data registries, executing primary source verifications, and proactively following up with payers to eliminate administrative delays. This role will also require strategic thinking – to identify how we can improve our internal processes, network access and optimization, network expansion opportunities and credentialing timelines.

Key Responsibilities

Provider Credentialing

Manage end-to-end credentialing and re-credentialing processes for Clinical Psychologists (PsyD/PhD), therapists (LCSWs, LPCs, LMHCs) and other remote clinical providers

Maintain and audit all provider profiles in CAQH, ensuring information is current, attested, and fully compliant

Perform primary source verifications of provider licenses, certifications, education, and malpractice insurance history

Maintain secure, centralized physical and digital provider credentialing files, fee schedules, and databases

Payer Enrollment & Roster Management

Prepare, submit, and track provider enrollment applications with payers

Compile and distribute monthly provider rosters to active insurance plans to ensure payer directories remain accurate

Identify and resolve provider-level NPI, taxonomy, or enrollment errors that cause clearinghouse or payer-level claim rejections

Actively track credentialing cycle times and report on application statuses across our active expansion pipeline

Contracting Support & Network Adequacy

Monitor contracting pipelines, ensuring group contract addendums and provider agreements are executed correctly

Support the operations team by gathering data and preparing applications to challenge commercial panel closures (network adequacy appeals)

Regularly audit payer directories to ensure Josi Health providers are visible and active

Coordination & Compliance

Monitor licensure and certification expiration dates (e.g., state medical licenses, DEA, malpractice) and send timely renewal alerts to providers

Collaborate closely with recruiting and clinical teams to coordinate the onboarding schedule of incoming providers

Adhere strictly to NCQA standards, URAC guidelines, and HIPAA regulations regarding data security and privacy

Provide clear, professional updates to providers on their credentialing status, making document retrieval as painless as possible

What We’re Looking For

Must-Have

2+ years of healthcare experience specializing in provider credentialing, payer enrollment, or provider relations

Highly proficient with CAQH

Working knowledge of medical licensing structures (e.g., PsyPact), NPI registries (NPPES), and primary source verification standards

Obsessive attention to detail – a missed box or expired license can disrupt operations; you double-check everything

Excellent written and verbal English communication skills; comfortable reaching out to busy providers and navigating complex payer customer service lines

Strong spreadsheet skills (Excel/Google Sheets) for tracking active pipelines and provider cohorts

Reliable remote work setup with backup power and high-speed internet (aligned with EST hours)

Preferred

Experience credentialing remote/telehealth providers across multiple states

Familiarity with NCQA credentialing standards, PECOS, and various state Medicaid portals

Experience in behavioral health networks

Certified Provider Credentialing Specialist (CPCS) certification

What We Offer

Fully remote – work from anywhere outside the US

Competitive monthly compensation in USD

Direct ownership of a vital operational pipeline in a fast-scaling startup

Support from a collaborative, tech-forward administrative team

How to Apply

Upload your resume (PDF)

Complete the short questionnaire

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