Payer Enrollment / Credentialing Lead

Better Health is growing and hiring a payer enrollment / credentialing lead to support our network growth and expansion.

As a member of our Expansion team, you will help to build the reach of Better Health by spearheading our efforts to add new payers to our network. Through proactive outreach, diligent tracking, and cross-functional organization, you will play a pivotal role in helping more people manage their chronic conditions at home.

Who is Better Health?

Better Health is a new type of medical provider built on peer to peer connection, helping people with chronic conditions live and age at home. We bundle peer support, education, and home delivery of medical supplies in an end-to-end digital care solution. We help our members discover and purchase the best medical equipment and supplies to address their underlying chronic conditions and receive the education and support they need to thrive at home.

Since our inception in November 2019, Better Health has gained Medicare licenses in 48 states, 16 Medicaid licenses, and serves the members of top payers, including Medicare, Medicaid, Cigna, Humana, Florida Blue, and Oscar, among others. We are backed by top investors including Mosaic General Partnership, General Catalyst, Caffeinated Capital, Healthworx, University of Miami Health System, Samsung Next, GSBackers, Table Management, and at.inc/ (see our latest funding announcement).

Areas of responsibility:

• Partner with the Expansion team on nationwide growth plans, collaborating on payer credentialing plans in target markets

• Complete and submit new applications to payers, identifying and addressing any barriers that may arise

• Manage payer contracts, including tracking contract status, generating reports on in-network payers, and providing support in response to questions on payer status

• Build and maintain positive relationships with payers, crafting credentialing application appeal letters and working to establish relationships with credentialing departments to secure new contracts.

• Coordinate discussions between Better Health leadership and target payers to accelerate the contracting process and achieve successful outcomes.

• Execute administrative duties, including maintaining lists of payer application statuses, prepare reports on in-network payers, and assist operations in answering questions on payer status

• Nurture relationships with payers, craft credentialing applications appeal letters, build relationships with the credentialing departments within the payer organization to gain contracts

What you bring to the table:

• Minimum of 2 years of experience in payer contracting/credentialing, including application submission and contract negotiation

• Knowledge of state medicaid, medicare, and commercial payer plans

• Experience working for or with DME companies, including knowledge of the DME credentialing process

• Strong organizational and administrative skills, with the ability to manage multiple project simultaneously and meet deadlines

• Exceptional attention to detail and accuracy in all work, with a commitment to producing high-quality results

• Excellent communication skills, including the ability to write clear and concise correspondence and engage with a variety of stakeholders

• Willingness to learn new skills and adapt to a fast-paced, rapidly changing environment

What you get:

• Competitive salary + equity package

• Healthcare & Dental

• Flexible PTO

• Remote work first

• Join a team committed to improving the lives of those living with chronic conditions

But most importantly, here at Better Health, our mission is to bring information, access, and support to people managing chronic conditions at home. Our diverse team is united by our shared values to:

• Take patients seriously and treat them well. Shift mindset: our members have choice, they are smart, they’re right. We follow-through our commitments.

• Lead with curiosity, kindness and a solution mindset. Get to the root of things, dig deeper, support our members and each other

• Pursue growth and move fast to maximize impact. Pursue growth personally and organizationally, be comfortable with change, be open to giving and receiving feedback to continually improve, source many opinions and then make fast decisions.

If you're fired up at the thought of revitalizing an archaic $60 billion home medical device industry and passionate about user-focused solutions, join us!

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Better Health is committed to being an employer that provides not just a good place to work, but a great and inclusive place to work. To that end, we strive to recruit and maintain a workforce that meaningfully represents the diverse and culturally rich communities that we serve. Here at Better Health, we are committed to diversity, equity, and inclusion.

We are an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status or any other basis protected by federal, state or local law, ordinance or regulation.