Join a mission-driven team ensuring providers are set up accurately so members receive care without delays.
About WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense delivers high-quality health plans and services for members in all circumstances. The company values diversity, inclusion, and professional growth for its employees.
Schedule
- Full-time, remote
- Overtime may be required during peak periods
What You’ll Do
- Complete accurate enrollment and re-enrollment processes for providers to ensure timely participation and correct payments
- Maintain thorough provider files, including digital documentation, and coordinate with internal teams to resolve record issues
- Oversee provider data integrity, ensuring compliance with Medicare, Medicaid, and NCQA requirements
- Collaborate with credentialing teams and follow contracting processes to support smooth provider onboarding
- Research and resolve interdepartmental issues related to provider enrollment
- Stay current on industry changes and participate in ongoing training
What You Need
- Bachelor’s degree or equivalent combination of education, training, and experience
- At least 2 years of business experience in a managed care or healthcare setting
- Strong organizational, problem-solving, and independent work skills
- Proficiency with Microsoft Office (Word, Excel, Outlook, Access, PowerPoint)
- Experience with ONYX, FACETS, or similar provider data/claims processing systems preferred
- Excellent verbal and written communication skills
Benefits
- Competitive salary
- Excellent benefits package
- Opportunities for professional development and internal advancement
Help ensure providers are ready to serve members — and get paid correctly — from day one.
Happy Hunting,
~Two Chicks…