Senior Manager, Credentialing & Payer Operations

The role

You will own credentialing and payer operations by designing scalable playbooks and leading a team of US-based and international specialists. You will partner with Engineering and Product to automate processes and manage vendor and payer relationships.

What you will do

• Turn payer requirements and credentialing standards into documented, repeatable processes.
• Manage a mix of U.S.-based and international specialists.
• Design workflows, systems, and data architecture for provider data management, licensing, and credentialing.
• Use AI tools and automations to scale operations.
• Manage key vendor relationships and hold them to SLAs.
• Work cross-functionally with Growth, RCM, and Payer Strategy to solve root-cause problems.
• Codify processes into playbooks.

Required qualifications

• 5+ years of operational experience in high-growth or high-complexity environments.
• Ability to find structure in chaos and build systems that scale.
• Ability to build solutions rather than just maintaining processes.
• Ability to lead people, set expectations, and give feedback.
• Experience using AI to solve operational problems.
• Strong data skills and ability to make decisions from dashboards.
• Ability to communicate across the organization to Engineering, Finance, and the C-suite.
• Comfortable with ambiguity.

Nice to have

• Background in consulting or rapid change management
• Experience in telehealth, multi-state provider networks, or direct payer engagement
• Hands-on experience with payer portals (Availity, plan-specific portals)
• Familiarity with commercial payer requirements; Medicare and Medicaid exposure a plus
• Exposure to credentialing standards (NCQA, CMS)

Benefits

• Equity
• Professional development & employee learning programs
• Comprehensive health benefits (medical, dental, vision)
• Unlimited PTO & 11 company holidays
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• Long- and short-term disability coverage
• Annual employee wellness stipend
• 401(k) plan
• Parental leave & family planning support benefits
• Company-issued laptop
• Annual work-from-home stipend
• Commuter benefits (if applicable)

About the company

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. It is one of the fastest-growing women’s health platforms in the U.S.