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Credentialing / Enrollment Lead

15 minutes ago
United States
Full-time
Senior
Operations Manager
Operations
Apply Now
Nourish

Nourish

Nourish is an online tool advocating awareness and action for sustainable systems thinking in the communication design community. They provide tools, resources, case studies, articles, and a blog to help designers implement more sustainable strategies....

Software
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Description

  • Lead a New Bets Credentialing or Enrollments pod by setting priorities, assigning ownership, reviewing quality, providing feedback, and managing performance.
  • Direct virtual-assistant capacity through work allocation, training, quality assurance, and performance monitoring.
  • Own payer enrollment, provider credentialing, ongoing monitoring, and delegated credentialing programs for physicians, nurse practitioners, therapists, and dietitians.
  • Create and maintain SOPs, operating cadences, quality controls, documentation standards, escalation paths, and audit-ready records.
  • Use operational metrics to manage capacity, throughput, timeliness, quality, provider experience, and execution risk.
  • Investigate complex payer, provider, and operational issues and make tradeoffs across speed, compliance, experience, business impact, and cost.
  • Design scalable workflows and recommend tooling, automation, and ownership improvements with cross-functional partners.
  • Resolve day-to-day escalations, communicate risks and decisions, and provide clear recommendations to stakeholders.
  • Coach associates into stronger owners and future leaders while ensuring reliable delivery against goals.

Requirements

  • Approximately 5–9 years of experience in payer enrollment, credentialing, provider operations, healthcare operations, or a related field.
  • Meaningful expertise in payer enrollment, provider onboarding, ongoing monitoring, delegated credentialing, accreditation, or related workflows.
  • Demonstrated people-leadership experience, including prioritization, work direction, feedback, performance management, and team development.
  • Experience owning complex operational programs with rigorous quality, compliance, documentation, and deadline requirements.
  • Ability to use metrics to manage capacity, throughput, quality, timeliness, and execution risk.
  • Strong written and verbal communication skills, including the ability to simplify complex operational or regulatory issues.
  • Technology proficiency and experience improving processes through tooling, automation, or Product and Engineering partnerships.
  • Flexibility and effectiveness in fast-changing, ambiguous environments.

Benefits

  • Full-time role with fully remote or NYC-based work options.
  • Opportunity to contribute to healthcare delivery across all 50 states.
  • Mission-driven work scaling a provider network toward 25,000+ providers.
  • Disproportionate rewards for high-impact performance.

Interested in this position?

Apply directly on the company website

Apply Now

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