Senior Provider Compliance Specialist

Summary

Join Rula as a Sr. Provider Compliance Specialist and help scale our credentialing department while ensuring providers meet expectations. You will proactively communicate compliance changes and renewals to providers and collaborate with cross-functional teams to improve credentialing processes. This role requires experience in provider credentialing management and auditing, proficiency with Excel/GSheets, and excellent communication skills. A high attention to detail and a process-driven approach are essential. We offer a 100% remote work environment, attractive pay and benefits, comprehensive health benefits, 401(k) access, generous time off, paid parental leave, and more.

Requirements

• Demonstrated experience in managing and auditing provider credentialing—including maintaining up-to-date licenses, certifications, insurance, and training
• Proficiency with Excel/GSheets, and a willingness to operate and learn new tools and software
• Excellent verbal and written communication skills, with the ability to collaborate in a cross-functional capacity to solve complex issues
• Expertise bringing a high attention to detail and process-driven approach to develop, document, and analyze standardized workflows
• Proven experience in maintaining accurate compliance records and updating state-specific licensing lists, with an understanding of regulatory requirements and KPIs

Responsibilities

• Scale the credentialing department while ensuring providers meet required expectations
• Proactively communicate important changes to compliance requirements, upcoming renewals, and any adjustments in processes to providers
• Partner with different cross-functional teams (i.e., sales, clinical operations, provider success, etc.) to drive improvements to credentialing processes that allow providers to practice without administrative burden

Preferred Qualifications

• Applied knowledge of NCQA/CMS delegated healthcare credentialing
• Experience credentialing and/or enrolling providers for Medicare/Medicaid
• Experience in fast-paced, high-growth startup environments
• Strong understanding of credentialing verification organization/vendor management

Benefits

• 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments
• Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
• Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
• 401(k) plan access: Start saving for your future
• Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
• Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
• Employee Assistance Program (EAP): Support for your mental and physical health
• New hire home office stipend: Set up your workspace for success
• Quarterly department stipend: Fund team-building activities or in-person gatherings
• Wellness events and lunch & learns: Explore a variety of engaging topics
• Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
• Discounted programs: Fetch, SmartSpend, Ladder, SoFi