Pair Team

Credentialing Specialist (Remote)

United States

Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Credentialing Specialist

About Pair Team

At Pair Team, we’re an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve.

We’re building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

We’re one of the largest Enhanced Care Management providers in California and are on track to build the nation’s largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, we’re not just delivering care—we’re building the future of more equitable, community-driven healthcare.

Our Values

  • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
  • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
  • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
  • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
  • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

In the News

  • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
  • TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
  • Axios: Pair Team collects $9M for Medicaid-based care

About the Opportunity

The Credentialing Specialist supports Pair Team’s growing central operations team by owning the end-to-end credentialing and re-credentialing process for providers and facilities. This includes maintaining up-to-date records, tracking licensure and certifications, submitting applications to health plans, and supporting audits to ensure full compliance with all regulatory and contractual requirements. Strong attention to detail and an operational mindset will be essential to ensuring providers can deliver care without interruption.

What You’ll Do

  • Own the end-to-end credentialing and re-credentialing processes for providers and facilities
  • Track and ensure timely completion of credentialing tasks based on regulatory and contractual deadlines
  • Submit credentialing and enrollment applications to health plans for Care Team staff
  • Monitor and document expirables, including licenses, malpractice insurance, DEA registration, and board certifications
  • Maintain accurate provider records and rosters across internal systems, payer directories, and audit documentation
  • Support delegated credentialing audits and internal compliance reviews
  • Assist with health plan contracting and network participation processes as needed
  • Submit and maintain individual and group enrollment applications for Medicaid and Medicare
  • Maintain up-to-date information on group enrollment records

What You’ll Need

  • 2+ years of credentialing experience in a health

Salary: Location Type: Employment Type:

Skills

Credentialing
Healthcare Administration
Medical Records
Insurance Verification
Data Entry
Attention to Detail
Communication Skills

Pair Team

Connects vulnerable patients with local care teams

About Pair Team

Pair Team connects vulnerable patients with local care teams that provide physical, mental, and social services. They achieve this by partnering with large healthcare providers, hospitals, health systems, municipalities, shelters, and social support services. The company focuses on whole-person care, offering their services for free to patients by coordinating resources across their partner network. This model is funded through the Enhanced Care Management benefit of Medi-Cal, ensuring no cost to patients. Additionally, Pair Team compensates community partners for their involvement in patient care, creating a revenue stream for these organizations. They also provide extra support like virtual urgent care, free grocery delivery, and housing navigation, which enhances patient care and eases the workload for healthcare staff. Pair Team stands out by specifically targeting vulnerable populations and collaborating closely with community organizations to deliver comprehensive care.

San Francisco, CaliforniaHeadquarters
2019Year Founded
$18.5MTotal Funding
SERIES_ACompany Stage
Social Impact, HealthcareIndustries
51-200Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Vacation Policy
401(k) Retirement Plan
Phone/Internet Stipend

Risks

Over-reliance on Medi-Cal funding poses financial risks with policy changes.
Rapid expansion may strain operational capabilities and affect service quality.
AI integration could lead to data privacy concerns and regulatory challenges.

Differentiation

Pair Team integrates social support services into healthcare for vulnerable communities.
They offer a tech-enabled care team model for safety-net primary care systems.
Pair Team provides whole-person care as a free service to patients.

Upsides

Recent $9M funding will help expand Pair Team's network and scale operations.
CalAIM initiative offers significant opportunities for Pair Team's service expansion.
Appointment of Nate Favini as CMO could drive innovation in clinical services.

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