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14 jobs similar to Senior Manager of Strategic Credentialing and Network Operations

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$110,000–$140,000/yr
United States

  • Own the end-to-end credentialing and multi-state licensing process, including policies and procedures.
  • Oversee provider onboarding and offboarding, driving license and credentialing applications to completion.
  • Manage delegated credentialing programs and health plan audits, ensuring compliance with state and federal regulations.

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Founded by healthcare pioneer Dr. Tom X. Lee, they are a team of leading innovators from healthcare, technology, and human-centered design.

US Unlimited PTO

  • Manage end-to-end provider licensing, payer enrollment, and credentialing operations.
  • Build scalable internal processes and drive fast time-to-credentialing metrics.
  • Serve as the primary bridge between providers, health plans, billing, and client success teams.

Nadia Care reimagines maternity care for underserved communities, providing trust-based engagement and wrap-around support for expectant mothers. Our growing team of empathetic professionals collaborates to improve pregnancy, birth, and postpartum outcomes.

$140,000–$160,000/yr
US 2w PTO

  • Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
  • Manage vendor relationships and resolve enrollment-related revenue cycle issues.
  • Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.

Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.

US 4w PTO

  • Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
  • Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
  • Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.

We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.

US

  • Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
  • Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
  • Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.

Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.

$120,000–$140,000/yr
US

  • Own the multi-state licensing roadmap and execute applications and renewals for clinicians across MD, DO, NP, and RN pathways.
  • Manage payer credentialing strategy, including CAQH profiles, commercial payer applications, and Medicare enrollment via PECOS.
  • Support clinical operations compliance, including scope of practice, collaborative agreements, and prescriptive authority tracking.

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.

US

  • Responsible for credentialing and recredentialing practitioner applicants to ensure regulatory compliance.
  • Conducts primary source verifications, reviews applications, and communicates with healthcare practitioners to obtain missing information.
  • Maintains credentialing database, monitors provider expirables, and assists with audit reviews.

Curana Health provides value-based care solutions, including on-site primary care, Accountable Care Organizations, and Medicare Advantage plans, to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors across 1,500+ communities in 32 states, employing more than 1,000 clinicians and staff, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.

Global

  • Prepare and submit provider enrollment applications and gather supporting documentation.
  • Track application status, follow up with payers, and resolve enrollment discrepancies.
  • Maintain accurate provider records in internal systems and coordinate with billing and credentialing teams.

We are a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. Our team is fully remote and we value collaboration and attention to detail.

US

  • Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
  • Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
  • Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.

Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.

US

  • Verify healthcare providers' credentials, including licensure, education, training, and certifications.
  • Maintain accurate and up-to-date credentialing records for all healthcare professionals.
  • Ensure compliance with regulatory standards and accreditation requirements.

Allevio empowers healthcare practice owners by removing operational and administrative roadblocks to patient care. They are a team passionate about helping clinics thrive and offer tailored solutions for efficiency and growth.

$130,000–$150,000/yr
US

  • Take operational problems from roughly defined to fully optimized, owning the design and implementation.
  • Design and document operating procedures, define metrics, and ensure data integrity.
  • Partner with product, train teams, and hand off sustained processes with clear ownership.

Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.

Global Unlimited PTO

  • Lead multiple Team Leads overseeing credentialing operations, ensuring efficiency, accuracy, and compliance.
  • Own client health KPIs, drive performance metrics, and resolve escalations to ensure SLAs are met.
  • Partner with internal teams to optimize workflows, implement process improvements, and ensure business continuity.

CertifyOS builds the data infrastructure that powers modern healthcare by automating provider licensing and credentialing. Backed by leading investors, they have a high-ownership team focused on solving real infrastructure problems for millions of patients.

$18–$21/hr
US

  • Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
  • Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
  • Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.

Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.

US

  • Review facility credentialing applications for accuracy and completeness based on applicable standards.
  • Communicate with facilities to resolve discrepancies and obtain missing information.
  • Manage data entry, monitor compliance, and prepare reports for the Credentialing Committee.

Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, the company serves 200,000+ seniors across 1,500+ communities in 32 states with a team of over 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list.