Credentialing Manager

The role

The Credentialing Manager leads provider credentialing, licensing, and re-credentialing at Salma Health. The role keeps provider records accurate and credentialing requirements current, and supports timely claim reimbursement. The manager may also supervise credentialing coordinators as the team grows.

What you will do

• Manage the provider credentialing lifecycle, from onboarding and application review through approval and ongoing record maintenance.
• Keep provider and practice records current across CAQH, NPPES, PECOS, state Medicaid and commercial payer portals, and internal systems.
• Coordinate credentialing onboarding and offboarding steps with HR, clinical operations, and legal and compliance partners.
• Support provider enrollment and revalidation for commercial payers, Medicare, Medicaid/Medi-Cal, managed care plans, and TRICARE.
• Maintain a provider-payer enrollment matrix tracking application status, effective dates, delegated credentialing arrangements, and deadlines.
• Monitor expirations and renewals for licenses, DEA and state controlled substance registrations, board certifications, and facility credentials.
• Conduct recurring exclusion, sanction, and NPDB screenings, escalating findings promptly.
• Prepare for and respond to payer and delegated credentialing audits and accreditation reviews.
• Help maintain policies, procedures, and forms aligned with NCQA standards, state law, and payer requirements.
• Manage credentialing vendors and software, report on enrollment progress and risk areas, and serve as a contact for providers and internal partners.

Required qualifications

• At least 3 years of experience in healthcare credentialing and payer enrollment.
• Working knowledge of NCQA credentialing standards, CMS enrollment requirements, and state licensing and Medicaid processes.
• Hands-on experience with CAQH, PECOS, NPPES, and payer enrollment portals.
• Strong organizational and project management skills, including managing multiple applications, deadlines, and cross-functional workstreams.
• Working knowledge of health information management and privacy principles.
• Excellent written and verbal communication skills, including experience collaborating with vendors and payers.

Nice to have

• Experience in behavioral health, psychiatry, or multi-entity or multi-state practice groups.
• Familiarity with DEA and state controlled substance registration requirements.
• Experience with payer audits and/or delegated credentialing audits.
• Experience building credentialing policies, SOPs, forms, or tracking workflows using tools such as GSuite, Notion, or spreadsheets.

Benefits

• Medical, dental, and vision coverage.
• PTO.
• Additional benefits.

Before you apply

• Sponsorship for employment authorization may be considered case by case, depending on the role and candidate qualifications.
• Applicants with arrest and conviction records will be considered, under the California Fair Chance Act.

About the company

Salma Health is a brain health company that integrates care delivery, technology innovation, and research. It aims to transform mental and neurological brain healthcare into an end-to-end system under one roof.