Credentialing & Payer Operations Manager

📋 Description

• Manage the full lifecycle of provider licensing, credentialing, and re-credentialing for care team
• Build and execute efficient onboarding and readiness workflows for doulas and other non-traditional
• Collect, audit, verify, and maintain primary-source documentation required for state licensing and
• Communicate directly with providers to obtain missing documentation, guide renewal activities, and
• Monitor clinical and non-clinical credentials, state license expirations, BLS/CPR certifications
• Establish automated reminders and tracking workflows within credentialing systems to ensure

🎯 Requirements

• 5+ years of experience in healthcare credentialing, provider operations, payer enrollment, or a
• Demonstrated experience managing initial state licensure applications across multiple states
• Bachelor’s degree in Healthcare Administration, Business, or a related discipline; an associate
• Hands-on experience with Medallion or a similar credentialing and provider management platform is
• Direct experience with doula credentialing, Medicaid doula registries, or onboarding
• Strong understanding of how provider credentialing, payer enrollment, billing systems, claims

🎁 Benefits

• Compensation range of $80,000–$90,000 USD, depending on directly relevant experience.
• Comprehensive medical insurance, including hospital, surgical, and prescription drug coverage.
• Dental insurance covering preventive, basic, and major services.
• Vision insurance for routine eye care and eyewear.
• Unlimited paid time off for eligible full-time salaried employees after the 90-day introductory
• Paid holidays.