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Provider Credentialing & Enrollment Operations Coordinator

LivWell Enlightened Health, Washington, District of Columbia, United States


Location
Washington, DC (Hybrid – 4 days onsite)

Company Overview
Enlightened is looking for a

Provider Credentialing & Enrollment Operations Coordinator

to support the credentialing process for new and existing providers. This role helps ensure providers are credentialed, enrolled, and activated accurately and on time. This position requires strong organization, attention to detail, and the ability to coordinate with both internal teams and external providers.

Position Responsibilities

Prepare and submit provider credentialing and enrollment applications

Review applications for completeness and accuracy before submission

Track credentialing status across systems and follow up as needed

Contact providers to obtain missing or additional documentation

Submit tickets to initiate provider setup and system access

Route and track tickets to the appropriate teams through completion

Work with internal teams to verify information and resolve issues

Perform quality checks before provider activation

Maintain organized, audit‑ready files and tracking logs

Assist with reporting and process improvements

Required Qualifications

Bachelor’s degree in a related field, or equivalent combination of education and relevant work experience may be considered in lieu of a degree.

Experience in provider credentialing, enrollment, healthcare administration, or similar work preferred.

Strong attention to detail and ability to manage multiple tasks.

Clear and professional communication skills.

Experience with credentialing systems, ticketing tools, and Microsoft Office.

Ability to work independently in a fast‑paced environment.

Core Competencies

Attention to detail

Organization and follow‑up

Customer service approach

Team collaboration

Problem‑solving

Understanding of compliance requirements

Benefits
The expected salary range for this position is listed above. Actual compensation will be determined based on experience and qualifications as well as internal equity and alignment with market data.

At Enlightened, we pride ourselves on offering a comprehensive and industry‑competitive benefits package to our full‑time employees. Our benefits include:

Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)

Flexible Spending Accounts (FSA)

401(k) Retirement Plan

Paid Holidays, Vacation, & Sick Leave

Professional Training & Development Reimbursement

Please note, these benefits are available exclusively to full‑time employees of Enlightened.

Equal Opportunity Statement
Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability, or any other federal, state, or local protected class.

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