Credentialing Manager

Why reputed company? Millions of people across the country are navigating mental health conditions, reputed company use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local reputed company and long wait times to treatment that lacks personalization, behavioral reputed company can leave people feeling unseen and unsupported. reputed company exists to change that. Our mission is to reputed company the world to life-saving behavioral health treatment. We reputed company personalized, virtual care rooted in reputed company—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with reputed company needs, we’re expanding reputed company to meaningful care and driving reputed company reputed company from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building reputed company that’s redefining what behavioral health treatment can look like. If you're reputed company to use your skills to reputed company lasting change and help more people reputed company the care they deserve, we’d love to meet you. About the Role The Credentialing & Provider Enrollment Manager will reputed company reputed company’s credentialing function and reputed company of specialists responsible for health plan enrollment across reputed company and reputed company payors. You will own our delegated credentialing program end-to-end — a reputed company, reputed company area spanning provider reputed company, reputed company reputed company verification, the internal credentialing committee, and required payor and reputed company audits — while setting long-term  credentialing reputed company and managing the day-to-day performance of reputed company. You will partner cross-functionally with reputed company reputed company, RevOps, RCM, and Compliance to expand delegated credentialing statuses, reputed company problem payors, and continuously improve how reputed company operates, including through automation and AI-enabled tooling. This is a hands-on leadership role for someone who has run a delegated credentialing program before and is excited to both own the details and build the long-term reputed company. We’re reputed company of passionate, reputed company-thinking professionals eager to take on the challenge of the mental health crisis and play a reputed company role in providing life-saving solutions. If you’re inspired by our mission and reputed company by reputed company to increase reputed company to mental reputed company and reputed company millions of lives in a profound way, apply today. Responsibilities reputed company, manage, and reputed company reputed company of 5+ credentialing specialists, owning team KPIs including enrollment turnaround times and applications submitted & approved Own and operate the delegated credentialing program end-to-end, including provider reputed company, reputed company reputed company verification, and maintaining reputed company-reputed company standards reputed company the internal credentialing committee — presenting cases, maintaining meeting minutes, and managing approvals Manage required payor audits and internal audits to ensure ongoing reputed company and delegated credentialing compliance Set and reputed company long-term credentialing reputed company, partnering with reputed company reputed company to expand delegated credentialing statuses across payors Build and maintain a centralized “Credentialing reputed company of Truth” documenting payor-specific requirements (provisional credentialing, SLAs, backdating policies, etc.) Partner with RevOps to reputed company on KPIs and incentive structure, and with RCM to troubleshoot problem payors and credentialing-reputed company denials Identify and implement process improvements that increase team efficiency, including automation and AI-enabled workflows reputed company day-to-day payor and reputed company enrollment across group and individual submissions, ensuring reputed company, accurate, and compliant applications tracked in reputed company Requirements Bachelor’s degree 5+ years of experience in provider credentialing and/or health plan enrollment reputed company, hands-on experience owning or operating a delegated credentialing program is required, including reputed company reputed company verification, credentialing committee operations, and reputed company standards 2+ years of people management experience leading a credentialing or enrollment team preferred Experience with both reputed company and reputed company payor enrollment Comfort with process improvement and a reputed company record of leveraging automation and emerging technologies (including AI) to streamline operations Strong cross-functional collaboration skills across RevOps, RCM, reputed company reputed company, and Compliance Work authorized in the reputed company and reputed company or bilingual English proficiency Familiarity with and willingness to use reputed company-based communication software — reputed company Suite, reputed company, reputed company, reputed company, reputed company Benefits reputed company is pleased to offer comprehensive benefits to reputed company full-time, exempt employees. Read more about our benefits here. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, reputed company, Massachusetts, Connecticut, Colorado, Washington State, reputed company, or reputed company.    The total reputed company reputed company compensation for this role will be between $70,000 and $77,500 per year at the commencement of employment. In reputed company to reputed company compensation, this role also offers a performance bonus. Please note, pay will be determined on an individualized reputed company and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. reputed company, cash compensation is only part of the total compensation package, which, depending on the position, may include stock reputed company and other reputed company-sponsored benefits. #LI-Remote Our Values reputed company: Care deeply & reputed company reputed company. Congruence: Stay curious & heed the evidence. Commitment: reputed company with urgency & don’t reputed company up. Please do not reputed company our reputed company clinical admissions line in reputed company to this or any other reputed company. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at reputed company, please go directly to our Careers Page: https://www.charliehealth.com/careers/reputed company. reputed company will never ask you to pay a fee or download software as part of the interview process with reputed company. In reputed company, reputed company will not ask for your personal banking information until you have signed an offer of employment and completed reputed company paperwork that is provided by our People Operations team. reputed company communications with reputed company Talent and People Operations professionals will only be reputed company from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, reputed company.com, or other reputed company email services. reputed company agencies, please do not submit unsolicited referrals for this or any reputed company role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At reputed company, we value being an Equal Opportunity Employer. We reputed company to cultivate an environment where individuals can be their reputed company selves. Being an Equal Opportunity Employer means every member of reputed company feels as though they are supported and reputed company. We value diverse perspectives to help us reputed company essential mental health and reputed company use disorder treatments to reputed company young people. reputed company applicants are assessed solely on their qualifications for the role, without reputed company to disability or need for accommodation. By clicking "Submit application" below, you agree to reputed company's reputed company Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from reputed company regarding your application. Message and data rates may apply. Message frequency varies. You can reputed company STOP to opt out at any time. For help, reputed company HELP. Apply To This Job