Source Job

US

  • Own the credentialing function, leading a team of twenty across four stages of the lifecycle.
  • Drive time-to-enrolled metrics, rebuild processes, and build controls to remove single points of failure.
  • Collaborate cross-functionally with Practice Success, revenue cycle, payer contracting, HR, and compliance.

Provider Credentialing Payer Enrollment Leadership Process Improvement Compliance

15 jobs similar to Sr. Manager, Credentialing Operations

Jobs ranked by similarity.

$90,000–$110,000/yr
US 3w PTO

  • Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
  • Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
  • Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.

Synapticure is a specialty care and life sciences company focused on neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. Founded by patients and caregivers, it operates a remote-first, 50-state clinical network and research engine with a culture of empathy, curiosity, and action.

US Unlimited PTO 16w maternity 8w paternity

  • Own end-to-end provider onboarding, credentialing, and recredentialing workflows.
  • Prepare and submit state licensing and payor enrollment applications.
  • Maintain compliance records and communicate status updates to stakeholders.

Sprinter Health brings healthcare directly to patients' homes, aiming to improve access to preventive and chronic care. The company has supported over 2 million patients across 22 states, raised over $125M, and maintains a 92 NPS with a team of clinicians, technologists, and operators.

$55,000–$65,000/yr
US 16w maternity 16w paternity

  • Own the end-to-end process for enrolling new providers with health plan partners.
  • Work closely with new clinical hires and third-party vendor to manage license applications and renewals.
  • Identify opportunities to improve licensing, credentialing, and enrollment processes to shorten time for clinicians to start seeing patients.

Pomelo Care is a virtual medical practice providing proactive, 24/7 clinical care for women and children across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The company is a well-funded startup with a collaborative, data-driven culture focused on improving outcomes for all mothers and babies.

US 16w maternity 16w paternity

  • Manage a team of licensing and credentialing specialists, overseeing end-to-end provider enrollment with states and health plans.
  • Own the enrollment strategy across clinical specialties, payers, and geographic states to ensure coverage for midlife patients.
  • Leverage data to proactively identify gaps in process and clinician coverage, driving process improvements.

Pomelo Care is a leading virtual medical practice for women and children, offering comprehensive care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. It is a fast-moving, well-funded startup with a collaborative, patient-first culture.

$30–$37/hr
US

  • Supervise and train the credentialing associate team to ensure high performance.
  • Document and refine insurance credentialing workflows and processes.
  • Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.

BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.

$52,200–$58,000/yr
US

  • Support the full credentialing lifecycle, from initial applications to renewals and ongoing maintenance.
  • Manage provider enrollment processes with payers, including application submission, follow-up, and status tracking.
  • Keep provider records accurate and audit-ready while ensuring compliance with regulatory standards.

Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes for people with cancer. It is a tech-native startup that values human connection, diversity, and inclusion.

US

  • Prepare and review credentialing and recredentialing applications, provider updates, termination letters, and TIN change documents.
  • Conduct biweekly follow-up with payers, track application progress, and maintain detailed records in internal systems and dashboards.
  • Support team projects such as new provider onboarding, payer roster updates, and quality reviews while protecting confidential information.

Specialty Dental Brands is a dental support organization that partners with pediatric dentistry, orthodontics, and oral surgery practices across the country, empowering teams with technology, resources, and support. The company values a people-first culture, collaboration, continuous learning, and creating positive experiences for providers, practices, and employees.

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Humana is a leading U.S. healthcare company offering insurance and healthcare services through its Humana Insurance and CenterWell brands. It is a large organization focused on improving health outcomes and supporting associates with competitive benefits.

US

  • Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
  • Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
  • Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

$185,000–$215,000/yr
US

  • Own clinician capacity planning, scheduling, and access across telehealth and physical centers.
  • Lead the full clinician pipeline from licensure and credentialing through onboarding and ramp.
  • Build clinical QA, SOPs, and performance management processes that scale.

Lifeforce is a longevity medicine program that combines advanced diagnostics, expert clinicians, and personalized health protocols delivered from home. It is a remote-first, fast-growing company founded with leaders from top medical institutions, operating a national network of clinicians.

US

  • Own end-to-end revenue cycle operations including billing, collections, A/R, and payer enrollment.
  • Drive transformation across denial management, credentialing, and revenue integrity.
  • Partner with executive leadership to optimize cash flow and build scalable systems.

Blackbird Health is a clinician-founded organization providing virtual and in-person pediatric mental health care across multiple states. The company is expanding rapidly, with a collaborative and innovative team focused on whole-child treatment.

$25–$30/hr
US

  • Own customer issues from start to finish while investigating and troubleshooting payer enrollment and credentialing inquiries.
  • Manage a high-volume support queue with timely, accurate, and thoughtful email responses.
  • Collaborate with Customer Success, Product, Engineering, and Operations to resolve complex issues and improve processes.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. It is a fast-growing healthcare technology company backed by $130M in funding, recognized as a top startup and a Glassdoor Best Place to Work.

US

  • Manage primary source verification and credentialing processes for healthcare professionals, including licensure verification and databank queries.
  • Compile and assemble qualification packages for review by the customer's Security & Credentialing Office.
  • Supervise support staff and ensure compliance with DHA directives and credentialing procedures.

Planned Systems International (PSI) provides healthcare credentialing and privileging support for mission-critical programs. The company offers a competitive total compensation package including medical, dental, vision, 401(k) matching, and professional development opportunities.

US

  • Supports credentialing and enrollment teams by managing data across Monday.com, Airtable, and Credential Stream.
  • Drives process improvement initiatives and develops progress reports to keep stakeholders informed.
  • Collaborates with enterprise stakeholders to maintain accurate data sharing and best practices.

United Vein & Vascular Centers is a leading provider of comprehensive vein and vascular care with over 60 clinics across multiple states. The company emphasizes minimally invasive procedures, cutting-edge technology, and a patient-centric approach to deliver superior outcomes.

US

  • Manage a queue of licensing requests, ensuring accuracy and compliance with state requirements.
  • Review and quality-check license applications and primary source verifications, submitting them as needed.
  • Communicate with providers, clients, and internal teams to resolve deficiencies and support timely licensure.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. As one of the fastest-growing healthcare technology companies, Medallion is backed by $130M in funding from top investors and recognized as a great place to work.