Job Title: Contracting and Credentialing Specialist

About the Organization

A US-based healthcare provider organization in the behavioral health space is looking for a Contracting and Credentialing Specialist to own the full lifecycle of provider credentialing and payer contracting.

The organization operates within the Applied Behavior Analysis and behavioral health sector, coordinating across multiple insurance payers and provider networks. The team prioritizes clean documentation, compliance, and operational reliability, and is ready to train the right hire on its internal systems and processes.

Day-to-day, this role maintains credentialing files, prepares and tracks credentialing and re-credentialing applications, reviews and negotiates payer contracts, and resolves enrollment and contracting discrepancies, with limited support to billing tasks. Success means providers stay fully credentialed, payer contracts remain current and compliant, and the revenue cycle runs free of credentialing-driven delays.

Must-Have Qualifications

• 2+ years of experience in healthcare contracting, credentialing, or revenue cycle management
• Hands-on experience preparing, submitting, and tracking credentialing and re-credentialing applications with insurance payers and networks
• Working knowledge of insurance verification, payer enrollment, and provider data management
• Experience reviewing, negotiating, and managing payer contracts, including tracking expirations and renewal timelines
• Proficiency with credentialing software platforms and Microsoft Office
• Familiarity with both payer-side and provider-side healthcare operations
• C1+ English (CEFR) for payer communication and contract negotiation

Nice-to-Have Qualifications

• Experience in Applied Behavior Analysis (ABA) or behavioral health settings
• Working knowledge of CAQH, NPI registry, and insurance payer portals
• Exposure to medical billing or claims follow-up within a revenue cycle team
• Track record of process improvement in credentialing or contracting workflows

About Pearl Talent

Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They’re looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we’ve hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.

Hear why we exist, what we believe in, and who we’re building for: Watch here

Benefits

• Competitive Salary: Based on experience and skills
• Remote Work: Fully remote—work from anywhere
• Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
• Generous PTO: In accordance with company policy
• Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
• Direct Mentorship: Guidance from international industry experts
• Learning & Development: Ongoing access to resources for professional growth
• Global Networking: Connect with professionals worldwide

Our Recruitment Process

1. Application
2. Screening
3. Skills Assessment
4. Topgrading Interview
5. Client Interview
6. Job Offer
7. Client Onboarding

Ready to Join Us?

If you’re empathetic, organized, and passionate about improving patient experiences through operational excellence, this role is for you. Apply now to help make specialized healthcare more accessible to patients across the U.S.