openashbyhqa16z
Credentialing & Payor Enrollment Analyst
Sprinter Health
LocationSan Francisco, CA, Menlo Park, CA
WorkplaceHybrid
EmploymentFullTime
Posted2026-03-11T16:33:38.132+00:00
Last observed2026-06-16 14:52:51.582277
Job ida16z-sprinter-health:ashbyhq:cee2343a-61af-4e2d-8676-2e9d7cc73e50
ABOUT SPRINTER HEALTH: At Sprinter Health, our mission is reimagining how people access care by bringing it directly to their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed 130,000+ in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. Overview We are seeking a highly organized, detail-oriented Credentialing & Payor Enrollment Analyst to support the onboarding and readiness of healthcare providers in a fast-growing organization. This role is critical to ensuring providers are properly credentialed, licensed, and enrolled with payors so they can deliver care and be reimbursed without delay. The ideal candidate thrives in a startup or high-growth environment, brings strong operational discipline to complex regulatory work, and communicates clearly and in a structured manner. You’ll own end-to-end workflows across credentialing, licensing, and payor enrollment, while helping build scalable processes that support rapid growth. WHAT YOU’LL DO Provider Onboarding & Credentialing - Own the end-to-end onboarding process for new providers, from offer acceptance through readiness to practice - Collect, review, and verify documentation, including education, training, work history, certifications, and malpractice coverage - Prepare and submit enrollment applications to payors and other required entities - Track application status, follow up proactively, and resolve deficiencies to prevent onboarding delays Licensing & Regulatory Compliance - Prepare, submit, and track initial and renewal state license applications across multiple jurisdictions - Maintain up-to-date knowledge of state-specific licensing requirements and timelines - Monitor license expirations, renewals, and compliance deadlines to ensure uninterrupted provider eligibility - Communicate with state boards and regulatory agencies to address questions, requests, or discrepancies Payor Enrollment - Submit new payor enrollment and re-enrollment applications with commercial, Medicare, and Medicaid payors - Complete and submit payor-specific forms, attestations, and updates related to provider status changes - Prepare and submit payor rosters in accordance with payor requirements and timelines - Track enrollment progress and escalate risks that may impact billing or reimbursement Process Ownership & Communication - Maintain accurate, organized credentialing, licensing, and enrollment records in internal systems - Communicate timelines, status updates, and risks clearly to internal stakeholders and providers - Use structured workflows, checklists, and documentation standards to manage high-volume work - Identify inefficiencies or recurring issues and recommend process improvements to support scale WHAT WE’RE LOOKING FOR Required Qualifications - 5+ years of experience in healthcare credentialing, licensing, and payor enrollment, including multistate operations - Strong attention to detail and proven ability to manage complex, document-heavy workflows - Excellent organizational and time-management skills with the ability to manage multiple providers and deadlines - Clear, structured written and verbal communication skills - Experience working in a startup, growth-stage, or fast-paced healthcare environment Preferred Qualifications - Experience in credentialing and enrolling advanced practice providers and/or physicians - Familiarity with commercial, Medicare, and Medicaid payors - Experience supporti
This page is generated from the committed OpenOpps static snapshot. Use the source posting or apply link for the employer's current canonical posting state.