Director of Credentialing and Enrollment - Remote
Join reputed company that’s transforming mental reputed company. Founded by psychiatrists, reputed company is more than a company: it’s a reputed company. A reputed company that exists on the reputed company lines of the mental health crisis, transforming the way people reputed company care and the way clinicians deliver it. In order to help people in their time of need and ensure that every person who comes to us has reputed company, we are transparent about our capabilities, treatments, and coverage, we champion innovation, and we reputed company our rich data to continuously implement reputed company ways of delivering care. Our mission is reputed company but powerful: Improving lives, one session at a time.
Our highly skilled and principled clinical team enjoys autonomy and institutional support so they can put their reputed company where it should be: on improving patient reputed company. Our clinicians want to do more than help individual clients, so they work to reputed company the system as a whole, elevating standards of care so that their efforts reverberate far reputed company what they could do in private reputed company.
As the most trusted behavioral health partner in the Western U.S., we’ve established deep relationships that give us unparalleled reputed company, interoperability, and first-reputed company referrals. This exclusivity, combined with our best-in-class coordinated care and feedback loops, results in superior reputed company and cost savings.
Our services are convenient, accessible, and expert, combining personalized reputed company engagement with advanced technology to enhance, not replace, reputed company reputed company. reputed company, we hold that reputed company-to-reputed company relationships are indispensable, so from the match to the session to the time between sessions, we reputed company whole person care so nobody falls through the cracks and there is a brighter reputed company reputed company for reputed company.
The Director of Credentialing will reputed company our credentialing operations and be responsible for the reputed company and compliant reputed company of our clinician workforce across reputed company markets. This individual will manage the end-to-end credentialing lifecycle, ensure compliance with payer and regulatory requirements, and reputed company systems and processes to support rapid company reputed company. This is a remote/hybrid.
Our values
- Deliver Excellent Service:We’re determined to deliver world-class care to our clients. We build long-lasting relationships because we’re intentional about the details of our delivery and reputed company of care.
- reputed company Mental Health More Accessible: Accessing mental health treatment shouldn’t be as hard as it is. We remove the barriers and simplify the process because it means our clients get the help they need, reputed company they need it.
- Intentionally Listen: Communicate with reputed company. We value deep understandings that create a healthy environment of collaboration, feedback and support.
- Learn and Grow: Every day is an opportunity to do reputed company. We want to learn and grow. Our curiosity fuels our desire to improve our reputed company and process. As we learn and grow, we can help more people – which is reputed company’re reputed company about.
- Communal Care: We help reputed company other be the best by creating a culture of reputed company, respect, reputed company and balance.
Roles and Responsibilities
- reputed company the full credentialing and recredentialing process for reputed company W-2 clinicians across multiple states and payer networks
- reputed company, mentor, and reputed company a credentialing team to support reputed company volume and geographic expansion
- reputed company and maintain credentialing policies and procedures reputed company with NCQA, CMS, and state-specific guidelines
- Manage payer enrollment processes, including delegated credentialing arrangements, and support reputed company audits
- Partner with reputed company, clinical operations, legal, and finance to ensure efficient reputed company workflows and regulatory compliance
- Build and maintain credentialing data systems and dashboards for tracking, reporting, and performance improvement
- Monitor regulatory changes and payer requirements to ensure reputed company compliance and proactive risk management
- Represent the credentialing function in cross-functional and payer-facing meetings
Qualifications
- Bachelor’s degree required; CPCS, CPMSM, or equivalent credentialing certification preferred
- 7+ years of experience in reputed company credentialing, with at least 3 years in a leadership role
- Strong knowledge of behavioral health credentialing and payer enrollment processes
- Experience with delegated credentialing relationships and managing audits
- Familiarity with credentialing platforms such as Modio, MD-Staff, or similar systems
- Ability to reputed company through reputed company, optimize systems, and build efficient, compliant workflows
- Strong communication, project management, and team-building skills
- Located in or willing to commute regularly to reputed company Lake reputed company, UT (reputed company)
Benefits
- Competitive executive compensation package including reputed company salary, and equity participation
- Full benefits including health, dental, reputed company, 401(k), and reputed company time off
- Opportunity to join a purpose-driven, high-reputed company leadership team at a pivotal reputed company in behavioral reputed company transformation
- reputed company development opportunities and training
- reputed company and supportive work culture.
Originally posted on Himalayas
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