About the Company

FlyteHealth is a leading cardiometabolic care provider treating obesity, prediabetes, hypertension, and hyperlipidemia, while managing other chronic conditions through integrated care partners. Through a patent-pending treatment model that combines behavioral lifestyle modification with clinical intervention, we deliver industry-leading clinical results and help patients achieve better long-term health outcomes. Visit www.flytehealth.com to learn more.

The opportunity

We are seeking a hands-on Provider Enrollment & Credentialing Specialist to build and operate a centralized, scalable credentialing function for FlyteHealth's multi-state virtual clinical network. This role will own day-to-day provider licensing, credentialing, re-credentialing, enrollment readiness, and related compliance workflows while maintaining the rigor required by NCQA standards and FlyteHealth policy.

The right person is highly organized, persistent, detail-oriented, and comfortable working directly with clinicians, state licensing boards, payors, our credentialing verification organization (CVO), and internal Clinical Operations, Legal, Compliance, Finance, and People teams. This is not a coordination-only role: the specialist is expected to personally close loops, resolve blockers, maintain auditable documentation, and provide leadership with clear visibility into risk and readiness.

What You Will Own

Licensing, Credentialing & Enrollment

• Own end-to-end execution of provider licensing, renewals, re-credentialing, and payer enrollment (CAQH, Medicare/Medicaid) across all states, maintaining the single source of truth for provider-by-state readiness — licenses, DEA and controlled-substance registrations, malpractice coverage, attestations, CME, and state-specific requirements.
• Monitor expirations on advance intervals (120/90/60/30 days) and resolve missing information, aging applications, and blockers before they become urgent.
• Ensure no clinician is scheduled or practices in any jurisdiction where required authorization cannot be verified.

Provider Onboarding & Readiness

• Own the workstream from provider acceptance through ready-to-practice status, keeping Clinical Operations and People current on status and anything that could delay onboarding or patient access.
• Drive clinician outreach for outstanding documentation using clear provider-facing checklists and timelines.

NCQA & Audit Readiness (NCQA credentialing experience required)

• Translate NCQA credentialing and re-credentialing standards into workflows, policies, and SOPs; keep all files, evidence, committee records, and required review cycles audit-ready year-round.
• Partner with Legal, Compliance, and external experts to remediate findings; support delegated credentialing and payer audits.

Credentialing Committee & Reporting

• Run the monthly Credentialing Committee — agenda, files, approvals, exceptions, minutes — and produce the Red/Amber/Green dashboard covering risk, expirations, open applications, re-credentialing, turnaround time, and vendor performance.
• Assign every exception an accountable owner and due date; escalate before items create patient-care, compliance, or scheduling risk, and fix root causes rather than symptoms.

Vendor & CVO Management

• Serve as operational point person for FlyteHealth's CVO and credentialing platforms (Medallion or successors); reconcile vendor data against internal records, hold vendors to service levels, and drive open issues to closure.
• Inform build-versus-buy decisions and budget forecasting through reliable visibility into provider seats, licenses, renewals, and credentialing demand.

What Success Looks Like

• No surprises. Every clinician, state, and expiration is visible and actioned before it becomes urgent.
• Predictable onboarding. Clinical Operations always knows when a provider will be ready to practice and what's blocking progress.
• Continuous readiness at scale. NCQA evidence is audit-ready every day of the year, and processes support network, state, and payer expansion without proportional growth in administrative complexity.

Requirements:

• 3+ years of hands-on credentialing, provider enrollment, medical staff services, or CVO experience in a multi-provider environment.
• NCQA credentialing and re-credentialing experience applied in day-to-day operations (required).
• Multi-state licensure management, including state-specific requirements and ongoing compliance monitoring.
• Fluency with credentialing documentation: primary-source verification, CAQH, NPDB, OIG/SAM checks, malpractice coverage, work history, education/training, and board certification.
• Proven ability to manage high-volume, deadline-driven work with exceptional follow-through, communicating directly with clinicians, state boards, payors, vendors, and internal leaders.
• Comfort building dashboards, trackers, SOPs, committee packets, and audit files leadership can trust; able to identify risk and independently drive issues to resolution.

Preferred Qualifications:

• Payer enrollment with commercial payors, Medicare, Medicare Advantage, and/or Medicaid.
• Experience in a multi-state virtual-care, medical-group, MSO, or affiliated professional-entity model.
• Experience supporting NCQA accreditation/certification, delegated credentialing, or payer credentialing audits.
• Medallion or another modern credentialing platform; knowledge of DEA and controlled-substance registration workflows.
• CPCS, CPMSM, or other recognized credentialing/medical staff services certification.

FlyteHealth Benefits:

• Comprehensive health, dental and vision insurance
• 401(k)
• Discretionary PTO Plan
• Parental leave

FlyteHealth Perks:

• Flexible working hours
• Remote-first Company
• Internet Stipend for remote working
• Paid Company Holidays

FlyteHealth values diversity and is committed to equal opportunity for all persons regardless of their race, religion, color, creed, marital status, age, national origin or ancestry, physical disability, medical condition, sexual orientation, and gender identity.