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Credentialing Operations Specialist

Spring Health

Spring Health is a global mental health company focused on removing barriers to mental health care. This role supports provider enrollment and rostering for clinicians across health plans, ensuring providers are accurately enrolled, listed on rosters, and paid correctly. The position is fully remote and reports to the Enrollment Manager, working closely with Credentialing, Onboarding, Claims, and Product teams.

Key responsibilities include submitting and tracking clinician enrollment requests, building and validating recurring roster submissions, reconciling enrollment records across systems, processing plan and state license changes, managing terminations and unenrollments, monitoring turnaround times, escalating delays, updating internal portal data, preparing executive-level reports, and improving workflows with spreadsheets and AI tools.

Requirements & Qualifications

2+ years of direct experience in provider enrollment and rostering with commercial health plans, ideally supporting a large multi-state group practice or clinician network.

Working knowledge of health plan enrollment and roster submission processes, including applications, roster files, effective dates, and terminations.

Experience improving or automating roster submission or enrollment workflows.

Advanced proficiency in Google Sheets and Excel, including lookups, pivot tables, conditional formatting, formulas across multi-tab workbooks, and large data reconciliation.

Clear professional written communication skills.

Ability to manage recurring deadline-driven processes independently and escalate issues early.

Working knowledge of Google Workspace.

Regular use of AI tools to draft, analyze, and validate work products.

Preferred experience includes working with multiple national and regional health plans, behavioral health or healthcare revenue cycle, spreadsheet scripting or lightweight automation, and credentials such as CPCS or CPMSM.

Benefits & Perks

Health, dental, and vision insurance starting on day one.

Access to One Medical, HSA and FSA plans, and Spring contributions of up to $1,000 toward HSAs depending on plan type.

401(k) match up to 2%.

Annual allotment of no-cost visits to Spring Health therapists, coaches, and medication management providers for employees and dependents.

Paid time off, including vacation, sick leave, and company holidays.

Parental leave after 6 months of tenure: 18 weeks for birthing parents and 16 weeks for non-birthing parents.

Access to Noom, Carrot fertility support, including $4,000 reimbursement for related fertility expenses, Wellhub, BrightHorizons, up to $1,000 in professional development reimbursement, and $200 per year in donation matching.

Location

New York, New York, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 month ago

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