---
title: 'Payer Enrollment Account Specialist at Medallion'
canonical: 'https://feeny.ai/job/payer-enrollment-account-specialist-medallion-remote-tfjwdxmaqk9e'
type: 'job'
last_seen: '2026-09-09'
---

# Payer Enrollment Account Specialist at Medallion

- **Company:** Medallion
- **Location:** Remote
- **Work type:** remote
- **Posted:** 2025-12-02
- **Last confirmed live:** 2026-09-09
- **Apply:** https://job-boards.greenhouse.io/medallionakafirstlayerai/jobs/4063476009

## Job description

About Medallion:

At Medallion, we believe healthcare teams should focus on what truly matters - delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.

As one of the fastest-growing healthcare technology companies - ranked #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, #5 on LinkedIn's 2024 Top US Startups, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show - Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.

The Payer Enrollment Account Specialist is responsible for ensuring the accurate and timely processing of health plan enrollment requests on behalf of Medallion’s clients by closely partnering with our vendor. While the Specialist primarily oversees and manages vendor performance to achieve timely, high-quality enrollments, they are also expected to personally complete highly escalated enrollments when necessary.

This position requires the management of multiple client accounts, with a focus on maintaining overall client health and satisfaction while ensuring compliance with established Service Level Agreements (SLAs) and Service Level Objectives (SLOs). The Specialist will act as a subject matter expert in payer enrollment requirements, facilitate effective collaboration between internal teams, vendors, and payers, and proactively address any barriers to successful enrollment.

Compensation for this role is between $20/hr - $28/hr depending on location and level.

Responsibilities:

- Oversee the end-to-end health plan enrollment process—from application retrieval to client notification—by coordinating with external vendor partners; directly complete highly escalated enrollment requests as needed.
- Ensure that all in-process enrollments are appropriately monitored through consistent follow-up (via telephone, email, and portal), and maintain thorough, timely documentation within Medallion systems.
- Maintain in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, CVs), and applicable regulations.
- Ensure that all necessary supporting documentation is accurately maintained in provider profiles, including onboarding documents, application copies, welcome letters, and other related correspondence.
- Prepare client updates to communicate enrollment status and progress as required.
- Build and maintain strong working relationships with payer representatives and contracting departments to help streamline future submissions and improve approval timelines.
- Support revalidation processes to maintain active provider participation in health plans.
- Track and monitor payer enrollment timelines and deadlines to ensure compliance with submission requirements.
- Investigate and resolve enrollment delays, rejections, or discrepancies by effectively coordinating with providers, payers, and vendor partners.
- Stay current with payer policies, state and federal regulations, and industry best practices relevant to enrollment processes.
- Perform other duties and responsibilities as assigned.

Skills and Requirements:

- Familiarity with payer enrollment-related applications and processes.Typically this is seen with at least 3+ years of direct experience with enrollments
- Expertise in using GSuites tools include GSheets, GDocs, and GMail
- Detail oriented and able to ensure the complex enrollment packages are complete and correct
- Able to communicate well with a wide variety of internal and external contacts at all levels of the organization
- Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization

We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.

## About Medallion

## Company Overview
- **One-liner**: Medallion is an AI-assisted operations platform that automates provider credentialing, enrollment, licensing, and compliance for healthcare organizations.
- **Entity Type**: Private (Series D; total funding ~$130M)
- **Headquarters**: San Francisco, California, United States
- **Founded**: 2020
- **Founders**: Derek Lo

## Core Business
- Primary industry: Healthcare IT / Provider Network Operations
- Target customers: B2B – provider groups, health systems, payers, digital health organizations, and delegated credentialing entities
- Mission: “Free healthcare teams to focus on what matters” – reducing administrative burden so providers can deliver care faster.

## Products & Services
- **Credentialing (CVO)**: NCQA-compliant credentialing files generated in real-time, with AI agents that handle primary source verifications and committee-ready packets.
- **Provider Enrollment**: Automated submission and tracking of payer enrollments to accelerate billing.
- **Privileging**: Automates privilege applications, reviews, and approvals.
- **Delegated Credentialing**: Manages delegated workflows with full audit visibility.
- **Roster Management**: Ingests, standardizes, and validates provider rosters across entities.
- **Cross-State Licensing**: Tracks and manages provider licenses across multiple states.
- **Monitoring**: Real-time alerts on credential and sanction changes to maintain compliance.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed (private company)
- **Key Metric (Revenue/Funding)**: Annual revenue ~$38M (LinkedIn estimate); total funding ~$130M (Series C $43M led by Acrew Capital in Sep 2025, Series C $35M led by Google Ventures/Spark Capital in Jun 2022, Series B $30M led by Sequoia Capital in Nov 2021)
- **Notable Investors/Partners**: Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, NFDG
- **Growth Signals**: 250+ customers, 200+ employees (growing to 318 in 2026, +42.6% YoY), 130,000+ providers on platform, 1.5M+ hours of admin time saved, 24M+ patients reached, 66% reduction in administrative costs, 66% faster enrollment, 3.5x faster credentialing file readiness than legacy CVOs

## Competitive Advantages
- **AI + Expert-in-the-Loop**: Purpose-built AI agents trained on changing payer requirements and state regulations, with credentialing specialists stepping in for exceptions – backed by contractual SLAs.
- **Real-Time Credentialing**: Proprietary payer clearinghouse enables real-time results instead of weeks-long cycles.
- **Unified Platform**: Connects credentialing, enrollment, and compliance in one system, eliminating silos and manual handoffs.
- **Built-In Compliance**: NCQA-compliant, audit-ready, with expert checkpoint reviews before work moves forward.

## Strategic Focus
- Expanding platform capabilities to cover the full provider lifecycle (from onboarding through ongoing monitoring and recredentialing).
- Scaling AI agent workforce to handle more complex exceptions while maintaining performance guarantees.
- Growing customer base across health systems, payers, and digital health organizations.

## Why Work Here
- **Culture**: Mission-driven (freeing healthcare teams to focus on patient care); values include reimagining provider operations, better outcomes at lower costs, and freedom to focus.
- **Remote/Hybrid Policy**: Rooted in San Francisco with teams in New York City, Boston, Los Angeles, Denver, and Chicago. 200+ teammates spanning 35 states – likely hybrid/remote-friendly.
- **Engineering Culture**: CTO Armaan Sarkar (ex-Samba TV, LiveRamp) leads engineering; active hiring for Staff Software Engineer, Senior Software Engineer, Engineering Manager, Senior Product Manager, etc.
- **Growth Opportunity**: Rapidly scaling (42.6% YoY headcount growth) with 15+ open roles across engineering, product, sales, and operations.
- **Perks**: Not explicitly listed, but fast-growing well-funded startup with top-tier investors (Sequoia, GV, Salesforce Ventures) suggests competitive compensation and equity.

## Sources
1. [medallion.co](https://medallion.co/)
2. [medallion.co/about](https://medallion.co/about-medallion)
3. [medallion.co/careers](https://medallion.co/about-medallion/careers)
4. [LinkedIn Company Page](https://www.linkedin.com/company/medallion-credentials)
5. [Greenhouse Job Board](http://job-boards.greenhouse.io/medallionakafirstlayerai)

## Other roles at Medallion

- [Technical Solutions Manager](https://feeny.ai/job/technical-solutions-manager-medallion-remote-qwzz9vbmq05n)
- [Senior Client Engagement Manager](https://feeny.ai/job/senior-client-engagement-manager-medallion-remote-xdvpbksxgtpm)
- [Implementation Project Manager](https://feeny.ai/job/implementation-project-manager-medallion-remote-ct4099hpsddr)
- [Software Engineer](https://feeny.ai/job/software-engineer-medallion-remote-yq7bfhcnnras)
- [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-medallion-remote-2dmjtqbpa5m5)
- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-medallion-remote-q9ec6m0kcc96)
- [Senior Product Designer](https://feeny.ai/job/senior-product-designer-medallion-remote-wqhnhkaxrn9m)
- [Enterprise Account Executive](https://feeny.ai/job/enterprise-account-executive-medallion-remote-9fnv9np83h95)