US Payer Credentialing Executive (India)

US Payer Credentialing Executive (India)

04 Aug
|
DirectShifts
|
India

04 Aug

DirectShifts

India

Company Description DirectShifts is a healthcare staffing marketplace built by healthcare professionals to streamline how clinicians connect with employers. Using advanced technology, the platform digitizes recruitment and staffing workflows, matching clinicians with roles at hospitals, health systems, ambulatory clinics, telehealth organizations, and more.

Clinicians across disciplines, including physicians, advanced practice providers, nurses, therapists, and medical assistants, use DirectShifts to find contract positions, permanent roles, per-diem shifts, and travel assignments. The team includes clinicians, experienced recruiters, credentialing specialists, entrepreneurs, and engineers, and is backed by leading investors such as Y Combinator and other notable healthcare and technology leaders. The company has been profitable since 2021 and continues to grow rapidly across all key performance indicators.

Role Description The US Payer Credentialing Executive is a full-time, remote role responsible for managing end-to-end credentialing and enrollment processes with US payers for healthcare professionals. Day-to-day responsibilities include preparing, reviewing, and submitting payer enrollment applications; tracking application status; and following up with payers to ensure timely approvals.

The role involves maintaining accurate records in credentialing systems, verifying provider information, and ensuring compliance with regulatory and payer-specific requirements. The executive will collaborate closely with clinicians, internal operations,



and client organizations to resolve credentialing issues, clarify documentation needs, and support smooth onboarding. This position also includes identifying process improvements, updating stakeholders on credentialing timelines, and contributing to standardized best practices for payer enrollment.

Qualifications

- Experience in US payer credentialing, enrollment processes, and provider onboarding with commercial insurers, Medicare, and Medicaid.
- Strong understanding of healthcare compliance, payer requirements, and credentialing standards (e.g., CAQH, NPPES, state licensing boards).
- Proficiency with credentialing software, databases, and basic office tools (spreadsheets, documentation, ticketing or CRM systems).
- Excellent organizational, time management, and follow-up skills to handle multiple applications and deadlines concurrently.
- Explicit written and verbal communication skills for interacting with clinicians, payers, and internal teams.
- Ability to analyze documentation, identify discrepancies, and resolve issues with attention to detail and accuracy.
- Demonstrated ability to work independently in a remote environment while collaborating effectively within a distributed team.
- Prior experience in healthcare staffing, medical group operations, or a credentialing department is strongly preferred.
- Familiarity with US healthcare system terminology, provider types, and payer networks.
- Associate or bachelor’s degree in a related field (such as healthcare administration, business, or similar) or equivalent practical experience.

📌 US Payer Credentialing Executive (India)
🏢 DirectShifts
📍 India

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