Source Job

US Unlimited PTO

  • Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
  • Serve as subject matter expert for payer enrollments with health plans.
  • Coach and lead a team of specialists to achieve performance standards.

Credentialing Payer Enrollment Operations Management Analytical Skills Cross-functional Communication

20 jobs similar to Manager of Credentialing and Payer Operations

Jobs ranked by similarity.

US

  • Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
  • Own complex payer enrollment and credentialing programs end to end.
  • Build scalable workflows and use metrics to manage capacity and execution risk.

Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.

$145,000–$155,000/yr
US

  • Lead the strategy to secure national payor agreements, moving from state-by-state enrollment to national in-network contracts with major commercial payors.
  • Manage a Credentialing Specialist, setting SLAs and KPIs for credentialing turnaround time, while overseeing payor enrollment and claim denial resolution.
  • Partner with Clinical Ops and Revenue Cycle to align provider onboarding with credentialing lead times and national agreement rollouts.

Happy Health is revolutionizing sleep medicine delivery through a comprehensive telehealth platform that eliminates traditional barriers to sleep care. The company is a fast-moving, low-ego team that values ownership and problem-solving over process, operating remotely with a physical office in Austin, TX.

US Unlimited PTO

  • Manage end-to-end credentialing and payer enrollment activities with minimal supervision.
  • Ensure provider readiness, accurate records, and compliant documentation across multiple systems.
  • Serve as a knowledgeable resource for less experienced team members and support cross-functional processes.

Our partner is a healthcare organization focused on credentialing and provider network management. They offer a mission-driven, inclusive environment with a focus on collaboration and continuous learning.

US 4w PTO 14w maternity 12w paternity

  • Manage end-to-end credentialing and recredentialing processes for healthcare providers.
  • Coordinate payer enrollment applications and ensure timely processing across commercial and government payers.
  • Maintain accurate credentialing files in compliance with regulatory standards and support cross-functional teams.

Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.

$80,000–$90,000/yr
US Unlimited PTO

  • Own the licensing vendor relationship and budget, directing vendor performance and holding them accountable.
  • Manage payer credentialing end to end, ensuring providers are enrolled and revenue-ready.
  • Own payer roster management and develop relationships with payer representatives to resolve issues.

Brightline provides pediatric behavioral health care via virtual and in-person services, including therapy and psychiatry for kids up to age 18. Founded in 2019, the company has served tens of thousands of families and is nationally recognized for clinical excellence.

US

  • Submit and track provider enrollments with Medicare, Medicaid, and major commercial payers.
  • Maintain and update credentialing databases and payer status logs.
  • Collaborate with credentialing team and payer representatives to resolve blockers and shorten approval timelines.

Big Leap is a fast-growing, multi-state medical & behavioral clinician group focused on interventional mental health treatments like Spravato & TMS. The company is expanding its remote operations team to support growth.

US

  • Contribute directly to improving Provider experience through timely credentialing and enrollment.
  • Collaborate with cross-functional teams to support new payer launches and share operational insights.
  • Help educate credentialing associates as new processes and payers are introduced.

Rula is a remote-first company that makes mental health care more accessible by streamlining provider onboarding. The team values diversity, equity, and inclusion, fostering a culture of belonging.

  • Coordinate credentialing, payer enrollment, and recredentialing for clinicians.
  • Maintain provider data across CAQH, NPPES, PECOS, and payer portals.
  • Track contracts, follow up with payers, and escalate delays to ensure billing readiness.

Legion Health is a full-stack, AI-native psychiatry network delivering mental health care at scale. It's a fast-paced startup focused on using AI to automate care operations, with a culture of adaptability and process improvement.

US

  • Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
  • Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
  • Maintain accurate provider records, monitor deadlines, and communicate with stakeholders to prevent delays.

The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.

US

  • Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
  • Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
  • Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.

Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.

US Unlimited PTO

  • Collect, verify, and maintain provider credentials such as education, licensure, and malpractice insurance.
  • Enroll providers with Medicare, Medicaid, and commercial insurance payers.
  • Maintain provider profiles in CAQH and track credential expiration dates for timely renewals.

Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians, guiding 2.2 million members toward healthier food choices. The company is a remote-first team with a mission-driven culture and recently secured a $200 million investment from TPG's Rise Fund.

US Unlimited PTO

  • Credential providers end-to-end, managing high volumes of caseloads.
  • Pioneer best practices and new workflows for provider credentialing.
  • Collaborate cross-team to improve processes and policies.

Verifiable is a provider credentialing and network monitoring platform delivering AI, API, and software solutions to healthcare organizations. The company has grown to ~150 employees in 5 years, with a collaborative, high-ownership culture.

US

  • Manage the end-to-end credentialing process for assigned therapists, ensuring compliance with all requirements.
  • Review credentialing documents, complete primary source verifications, and maintain accurate records in multiple systems.
  • Partner with cross-functional teams to resolve issues and support timely onboarding.

Luna is revolutionizing the delivery of physical therapy by providing in-home care. The company is a start-up with a supportive leadership culture that offers opportunities for growth.

US

  • Support all aspects of credentialing and state licensing for the Medical Team, including Nurse Practitioners and Registered Nurses.
  • Maintain accurate provider credentials, ensure ongoing compliance, and contribute to departmental goals.
  • Manage credentialing files, perform primary source verifications, and obtain new/renewed state licenses.

Meds.com is a rapidly growing consumer technology firm operating healthcare businesses like BlueChew & MOD, aiming to better patients' lives through innovative solutions. With a team of 350 professionals, they've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology.

US

  • Own the end-to-end cycle of licensing applications for new and existing providers across the U.S., ensuring all requirements are met.
  • Develop SOPs for new state or provider licensing and streamline existing processes with automation and optimizations.
  • Provide direct support to providers and collaborate with cross-functional teams on licensing communications and updates.

Nourish is an AI-native digital health system that matches patients with Registered Dietitians, physicians, medications, and lab testing to deliver insurance-covered care across all 50 states. Founded four years ago, the company has completed millions of appointments, tripled year-over-year, and raised $215M in funding, seeking high-talent, resilient, and ego-free individuals.

$97,000–$113,500/yr
US Unlimited PTO

  • Track open payer issues end-to-end, ensuring clear ownership and accountability across teams.
  • Drive measurable business outcomes by improving RCM efficiency and revenue performance.
  • Partner with BD and operations teams to align stakeholders and move issues to resolution.

Alma simplifies access to mental health care by helping therapists accept insurance and offer in-network care. With over 20,000 therapists across all 50 states, Alma has raised $220.5M and been named an Inc. Best Workplace.

US

  • Lead and develop a credentialing team, overseeing provider credentialing, licensing, and privileging processes.
  • Manage operational workflows, conduct audits, and implement improvements to ensure compliance and efficiency.
  • Collaborate with internal leadership, providers, and external clients to resolve issues and maintain high service levels.

Jobgether is an AI-powered recruitment platform that connects candidates with job opportunities through objective matching. It offers a fully remote, collaborative work environment with a focus on employee development and belonging.

US

  • You compile and maintain current and accurate data for dentists.
  • You complete credentialing and re-credentialing applications and monitor follow-ups.
  • You maintain copies of licenses, certifications, and other required documents.

We are a dental partnership organization dedicated to preserving the integrity of private practice. We currently serve patients in Oklahoma, Arkansas, Kansas, Missouri, and Nebraska and value team members who are motivated and detail-oriented.

US

  • Initiate and manage compliance onboarding for healthcare contractors, including credentialing verification.
  • Collaborate with staffing agencies and internal stakeholders to meet compliance deadlines.
  • Monitor credential expirations and maintain accurate records in the Vendor Management System.

Trio Workforce Solutions helps healthcare organizations manage workforce challenges through technology and services. The company is a mission-driven organization with a collaborative culture and growth opportunities nationwide.

US

  • Submit provider and organizational contract requests to commercial, Medicare, Medicaid, and managed care payers.
  • Monitor contract application status and maintain detailed tracking of all submissions and negotiations.
  • Coordinate with internal teams to facilitate successful implementation of newly executed agreements.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and maintain a fully remote culture focused on collaboration and personal connection.