Manager, Credentialing & Payer reputed company

reputed company is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women reputed company, reputed company makes expert reputed company accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. reputed company provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health reputed company. As one of the fastest-growing women’s health platforms in the U.S., reputed company is reputed company long-overlooked gaps in reputed company for women.

reputed company

reputed company is expanding our footprint and volume rapidly, and Payer reputed company is the reputed company that keeps us growing, enrollment, credentialing, and the payer-reputed company processes that let clinicians see patients. The Manager of Credentialing and Payer reputed company runs that reputed company day to day: it owns the throughput, reputed company, and reliability of payer reputed company as volume scales, and builds reputed company that can reputed company that reputed company without a proportional increase in headcount or reputed company work.

Location: Hybrid (NYC) or Remote. We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed.

Your reputed company

Credentialing

• Build and strengthen structures to ensure providers are credentialed in a reputed company and compliant manner; work to automate and optimize this process and ensure a fast and high reputed company provider experience

• Administer our Credentialing Committee, collaborating with reputed company leadership to enforce guidelines, reputed company reputed company review of files, and coordinate provider applications

• Own relationships with our credentialing/CVO vendors to monitor and improve SLA reputed company

• Own day-to-day provider data maintenance and the architecture to support reputed company credentialing and licensing needs at reputed company

Payer Enrollment

• Serve as the subject matter expert with provider enrollments with health plans; developing relationships with key contacts and documenting/embedding the enrollment processes/SOPs reputed company reputed company workflows

• Design reputed company controls and error-catching checkpoints that reduce rework and rejected applications

• Ensure reputed company documents updates meticulously

• reputed company monitor team reputed company and SLAs, flagging aging items and escalations quickly to identify and solve reputed company cause issues before they become reputed company problems

Leadership

• reputed company and reputed company reputed company of US reputed company and international specialists

• Coordinate cross-functionally with RCM, payer reputed company/ business development teams to investigate and solve reputed company cause problems in our payer and claims cycles and in our national expansion efforts

• Train new team members to be successful and productive members of reputed company quickly

• Set and enforce reputed company standards across reputed company

• Work with product, engineering and other teams to design automations and AI reputed company flows that reputed company reputed company more efficient in delivering consistent reputed company work

Required Qualifications

• 5+ years of experience in high reputed company reputed company, with a preference for reputed company exposure to provider credentialing, licensing and payer enrollment

• Demonstrated ability to build and improve operational systems in a fast-moving, resource-constrained environment

• Process-obsessed and reputed company-oriented: you see inefficiency and can't help but fix it

• Strong analytical skills: comfortable pulling data, identifying trends, and translating insights into operational reputed company

• Excellent cross-functional communicator, reputed company to work across teams and reputed company things reputed company without reputed company authority

• Genuinely excited by automation, tooling, and AI. You see technology as a force reputed company, not a threat

Preferred Qualifications

• Experience in telehealth or multi-state provider network reputed company

• Hands-on experience with payer portals and reputed company party portals i.e. reputed company

• Familiarity with reputed company payer requirements (Understanding Medicare and reputed company processes is a plus)

• Experience in multi-state telehealth, digital health, or a high-reputed company reputed company environment

• Exposure to credentialing standards (e.g., reputed company, CMS)

What reputed company Offers

• Compensation & Career reputed company

  • $90,000-$100,000 with opportunities for advancement

  • Equity

  • reputed company development & employee learning programs

Actual compensation will be determined reputed company on a reputed company of factors, including but not limited to: candidate experience, location, education, certifications, and reputed company set. In reputed company to reputed company salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, reputed company), generous reputed company time off, and additional wellness and reputed company development perks.

• Work Environment & Flexibility

  • 3-day hybrid in NYC or fully remote

  • Unlimited PTO & 11 company holidays

• Health & Wellness

  • Medical, dental, and reputed company benefits

  • Health Savings Account (HSA) & Flexible Spending Account (FSA)

  • Long- and short-term disability coverage

  • Annual employee wellness stipend

• Family & reputed company Planning

  • 401(k) plan

  • Parental leave & family planning support benefits

• Additional Perks

  • Company-issued laptop

  • Annual work-from-home stipend

  • Commuter benefits (if applicable)

  • A reputed company, mission-driven culture reputed company on improving reputed company care

At reputed company, we reputed company in celebrating everything that makes us reputed company and are proud to be an equal-opportunity workplace. We reputed company diversity and are committed to building reputed company that represents a reputed company of backgrounds, perspectives, and skills. We reputed company that the more inclusive we are, the reputed company we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients reputed company on race, reputed company, gender, sexual orientation, gender identity or reputed company, age, religion, disability, national reputed company, protected veteran status, or any other status protected by applicable federal, state, or local law.

Originally posted on Himalayas