Job description
About XRHealth
XRHealth delivers virtual care through virtual reality. We provide physical therapy, occupational therapy, speech-language pathology, mental health therapy, and nurse practitioner services — 100% remotely, across multiple states. We're a lean, fast-moving, fully remote team that operates under an MSO–professional corporation structure, and we're building a clinical operation that is both clinically excellent and financially disciplined.
About the Role
We're looking for a hands-on credentialing and government contracting specialist to own the enrollment, credentialing, and government registration lifecycle for our clinicians and entities. This is detailed, deadline-driven work: Medicare and Medicaid enrollments, revalidations, payer applications, state licensure support, and federal/state contracting registrations.
This role is ideal for someone who knows PECOS and CMS I&A, can work independently without hand-holding, and takes satisfaction in a clean tracker and zero lapsed enrollments. You'll work directly with our leadership team and have real ownership over your workstream.
What You'll Own
Medicare (CMS / PECOS / I&A)
Maintain CMS Identity & Access (I&A) accounts, surrogate relationships, and PECOS access for providers and organizations
Prepare, submit, and track CMS-855B, 855I, 855R, 855O, CMS-588 (EFT), and EDI enrollment applications
Manage reassignments of benefits, group enrollments, practice location changes, and ownership/managing-control disclosures
Own the revalidation calendar — no missed deadlines, ever
Correspond with MACs on development requests, name-matching issues, and application deficiencies; escalate and follow through to approval
Medicaid
Complete and track state Medicaid enrollments and re-enrollments across multiple states
Maintain CAQH ProView profiles, NPPES/NPI records, and payer portal access
Track application status, effective dates, and par/non-par status in our credentialing tracker; report status weekly
Government Contracting
Maintain SAM.gov registration, UEI, CAGE code, and annual renewals
Support VA community care network enrollment (TriWest/Optum), state contracts, and other public-sector opportunities
Prepare and update capability statements, representations and certifications, and required entity documentation
Monitor solicitations and flag relevant opportunities; assemble supporting documents for bids and RFPs
Documentation & Process
Keep entity documentation organized and current (EINs, IRS Letter 147C, W-9s, state registrations, registered agent records, MSO/PC structure documents used in payer applications)
Maintain and improve credentialing SOPs and trackers
Deliver a concise weekly status report: what moved, what's blocked, what's at risk
Required Qualifications
3+ years of hands-on provider enrollment and credentialing experience
Direct, independent experience with CMS I&A and PECOS
Multi-state Medicaid and commercial payer enrollment experience
Working knowledge of CAQH, NPPES, and payer credentialing portals
Strong written communication — you'll be drafting payer and agency correspondence on our behalf
Meticulous documentation habits and comfort managing dozens of parallel deadlines
U.S.-based, with a Social Security Number (required to establish individual CMS I&A credentials)
Reliable high-speed internet and a private, HIPAA-appropriate work environment
Preferred Qualifications
CPCS or CPMSM certification
Telehealth or multi-state virtual care experience
Experience with group practice enrollments under an MSO or management services structure
Prior SAM.gov / federal contracting registration experience
Experience with VA community care networks (TriWest, Optum)
Familiarity with therapy disciplines (PT/OT/SLP) and behavioral health credentialing requirements
Schedule & Work Arrangement
Part-time, hourly, W2 — hours will not exceed 29 hours per week
Schedule is flexible within standard U.S. business hours, with availability required for payer and MAC phone calls during business hours
Fully remote; company laptop provided for all work
Accurate time tracking is required; all hours must be recorded and approved
Hiring Process
Application review & 10-minute screening interview. Complete screening interview here:
30-minute live interview
Reference check and background check
XRHealth USA Inc. is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic. Employment is contingent on successful completion of a background check and exclusion screening (OIG, SAM, OFAC).
This position is employment at will. Nothing in this posting constitutes a contract or guarantee of employment or of any minimum number of hours.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.