Credentialing Manager

The role

The Credentialing & Provider Enrollment Manager will lead the credentialing function and a team of specialists. This person will own the delegated credentialing program and set long-term credentialing strategy.

What you will do

• Lead, manage, and develop a team of 5+ credentialing specialists
• Own and operate the delegated credentialing program end-to-end
• Lead the internal credentialing committee
• Manage required payor audits and internal audits
• Set and drive long-term credentialing strategy
• Build and maintain a centralized Credentialing Source of Truth
• Partner with RevOps and RCM to align on KPIs and troubleshoot denials
• Identify and implement process improvements using automation and AI
• Oversee day-to-day payor and Medicaid enrollment in Salesforce

Required qualifications

• Bachelor's degree
• 5+ years of experience in provider credentialing and/or health plan enrollment
• Direct, hands-on experience owning or operating a delegated credentialing program
• Experience with both Medicaid and Commercial payor enrollment
• Comfort with process improvement and leveraging automation and emerging technologies
• Strong cross-functional collaboration skills
• Work authorized in the United States
• Native or bilingual English proficiency
• Familiarity with and willingness to use Google Suite, Slack, Zoom, Dropbox, and Salesforce

Nice to have

• 2+ years of people management experience leading a credentialing or enrollment team

Benefits

• Comprehensive benefits for full-time, exempt employees
• Performance bonus
• Stock options

About the company

Charlie Health delivers personalized, virtual behavioral health treatment. The mission is to connect the world to life-saving behavioral health treatment.