DME Payer Contracting & Credentialing Specialist (Full-Time, Remote)

Medically Modern is a growing DME (durable medical equipment) company. We're looking for a full-time, dedicated specialist to own payer contracting, provider credentialing, and state licensing for our organization — not a one-off project, an ongoing role. We already hold active contracts with major payers (Anthem BCBS NY, UnitedHealthcare, Aetna, Medicare, Cigna, Wellcare, NY Medicaid, TRICARE, and others) and are actively expanding into new states and Blue Cross Blue Shield / Anthem plans across the country. You'd take ownership of that expansion and the ongoing maintenance of our existing network. What you'll do: For each payer/state we're targeting, you'll research and determine: whether the network is actually open to new DME providers, whether the state requires a specific DME/HME license to contract there, and whether a physical location in-state is required. This research is not linear — payers often don't publish clear answers, provider relations reps give inconsistent information, and the real answer sometimes only surfaces after a call or a submitted inquiry. Persistence and good judgment matter as much as process here. Once you have that picture, you'll help prioritize which payers/states to pursue first based on how straightforward they are to get into — open networks with no state license or physical location barrier go first, harder ones get sequenced in behind them. From there you'll complete and submit credentialing/contracting applications (CAQH, Availity, mail-in packets, payer-specific portals); track every application through to signed contract, following up on a set cadence until it closes; manage the state licensing requirements you've identified (state HME/DME license, surety bonds, liability insurance) so we're compliant before or as we contract in a new state; keep our contracting/credentialing tracker accurate and current on every payer and state; and handle professional email and phone correspondence with provider relations and contracting teams. What we need from you: Direct experience with DME/HME or ancillary provider credentialing and payer contracting in the US healthcare system (this is not a generic VA or data-entry role); working knowledge of CAQH, Availity, and typical payer credentialing/enrollment workflows; comfort doing open-ended research where the answer isn't clearly published and has to be tracked down; familiarity with state DME licensing requirements (or the ability to research and track them accurately per state); excellent written English for professional correspondence with US payer representatives; strong organizational skills — this role lives inside a detailed tracker and nothing falls through the cracks; full-time availability with meaningful overlap with US Eastern time business hours. Nice to have: experience with Medicare PECOS enrollment, DME accreditation (ACHC/BOC), or prior work at a DME/HME supplier or billing company. This is intended to be a long-term, full-time working relationship, not a short-term contract.