Ply Health
Faster way to get providers in-network with payers.
Contracting and Credentialing Lead (CA Focus)
About the role
We are looking for an experienced and driven Contracting and Credentialing Lead with expertise in California enrollments to join our team. The ideal candidate is comfortable working directly with multiple clients, is passionate about using technology to optimize workflows and has prior experience in helping providers and practices get in network with payers. The ideal candidate shows an entrepreneurial mindset, takes ownership over their projects and works with urgency for our clients.
At Ply, we are on a mission to build the first fully automated contracting and credentialing platform. We know that contracting and credentialing delays are costly - providers lose out on thousands of dollars of billings a week and patients are delayed in getting crucial care. We want to simplify and speed up payer enrollment so that providers can start seeing patients sooner.
What you will be doing:
- Collaborate with clients to understand their contracting and credentialing needs. Submit payer enrollment requests to payers using Ply’s software and AI platform.
- Research payer requirements and guidelines to facilitate provider enrollment and participation in payer networks.
- Develop and maintain strong relationships with payer partners and Ply’s internal team.
- Provide training and support to clients on the use of Ply’s platform.
Our ideal candidate has:
- Minimum of 5 years of experience in contracting and credentialing, with particular expertise around California.
- Proven ability to build and maintain productive relationships with clients.
- Previous experience working at a startup or high-growth organization is preferred. Previous experience building a company or consultancy is preferred.
- Strong problem-solving skills and attention to detail.
- Willingness to learn how to use new AI and software tools.
Why Join Ply Health:
- Opportunity to make a significant impact at a fast growing, tight knit startup working to improve healthcare administration through leveraging technology.
- Work directly with engineers and technical talent to build the Ply platform. We’re building more tech every day to make contracting and credentialing more efficient!
- Flexible remote work environment.
About the interview
- Initial discussion with Sam (Co-founder/CEO)
- Deep dive of previous experiences with another Ply Health Contracting and Credentialing Lead
- Discussion on culture/fit with Sam and David (Co-founder/CTO)
- Reference checks
About Ply Health
Providers need to get in network with insurance companies, but the process is time-consuming and an administrative headache. We ingest provider information and use AI to automate submissions, saving providers months of waiting.
We provide standardized questionnaires to collect all required provider information and documents. Our customers are then able to request a new network enrollment in just a few clicks instead of spending hours navigating insurance websites to find the correct forms.
On the backend, we’re automating each part of the enrollment process. We also have an experienced ops team as humans-in-the-loop to make sure everything is processed correctly. This ensures that enrollments are completed quickly and accurately, our customers’ two most important KPIs.
