Credentialing and Payor Operations Manager - Remote

Overview

The Credentialing and Payor Operations Manager will bridge the gap between credentialing/payor enrollment strategy and operational execution, optimizing processes and ensuring seamless provider onboarding and payor enrollment operations.

In Short

• Own & optimize credentialing and payor enrollment operations.
• Lead process improvements across credentialing workflows.
• Manage provider onboarding & enrollment workflows.
• Develop and document best-in-class operational processes.
• Collaborate with internal stakeholders for operational improvements.
• Serve as a key contact for payor enrollment-related issues.
• Support cross-functional initiatives related to provider onboarding.
• Identify automation opportunities to enhance operational efficiency.

Requirements

• 5+ years of experience in healthcare operations or related fields.
• Experience in a tech-enabled healthcare or digital health company.
• Strong operational expertise with a track record of optimizing workflows.
• Familiarity with payor enrollment processes and compliance regulations.
• Experience managing cross-functional projects.
• Tech-savvy mindset for process improvements.
• Strong problem-solving skills in a dynamic environment.
• Excellent communication and organizational skills.

Benefits

• Medical, Dental and Vision coverage.
• Life, Short and Long Term Disability insurance.
• 401K match.
• Flexible PTO.
• Parental Leave.
• Stock options.
• Additional programs and perks.