Credentialing Manager
Jobgether
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Credentialing Manager in the United States.
This role plays a key part in optimizing revenue cycle operations within a fast-growing healthcare technology environment focused on improving access to autism care. The Credentialing Manager is responsible for overseeing payer enrollment processes, strengthening insurance network operations, and ensuring providers are successfully onboarded and maintained within payer systems. Acting as a critical operational link between internal teams, payers, and providers, this role ensures accuracy, compliance, and efficiency across credentialing workflows. It also involves managing offshore teams, improving operational processes, and resolving enrollment-related blockers. The position requires strong collaboration across multiple functions including product, compliance, and provider success teams. This is an impactful opportunity for a credentialing expert who thrives in a dynamic, mission-driven, and high-growth startup environment.
\n- Manage and optimize payer network operations, including insurance contract scaling and resolution of enrollment blockers
- Oversee offshore enrollment submission teams to ensure accuracy, productivity, and timely payer follow-ups
- Handle provider and internal stakeholder inquiries related to credentialing status, enrollment updates, and payer issues
- Ensure compliance with payer regulations, CMS billing standards, NCQA guidelines, and internal credentialing policies
- Drive revenue cycle process improvements to enhance efficiency, reduce denials, and improve reimbursement outcomes
- Lead operational initiatives related to workflow optimization and credentialing system enhancements
- Collaborate cross-functionally with product, compliance, HR, finance, and provider success teams
- Support roster management, demographic updates, and ongoing payer relationship maintenance
- Adapt to evolving operational needs and contribute to new initiatives as the organization scales
Requirements:
- 5+ years of experience in credentialing, revenue cycle management, or related healthcare operations roles
- Strong knowledge of payer credentialing processes, including enrollment, roster management, and payer follow-up workflows
- Deep understanding of revenue cycle operations, including billing, claims, collections, and accounts receivable
- Experience working in healthcare, behavioral health, mental health, or healthcare technology environments preferred
- Proven ability to manage or coordinate offshore or distributed operational teams
- Strong analytical and problem-solving skills with a data-driven mindset
- Excellent communication skills for engaging with internal teams, providers, and external payer organizations
- Strong organizational and time management skills with the ability to manage multiple priorities
- Proficiency with tools such as Google Workspace, Slack, CRM platforms, and EHR/RCM systems
- Comfortable working in fast-paced, evolving startup environments with a high degree of autonomy
Benefits:
- Competitive compensation package aligned with experience and market benchmarks
- Opportunity to work in a high-growth healthcare technology startup
- Mission-driven environment focused on expanding access to autism care services
- Exposure to end-to-end revenue cycle and payer network operations
- Collaborative, cross-functional, and fast-paced work culture
- Opportunity to lead operational improvements and have direct business impact
- Work with modern healthcare and RCM technologies
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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