Charlie Health logo
Charlie Health

Personalized mental health treatment for teens, young adults & families in crisis.

Credentialing Manager

ManagerManagerFull TimeRemoteSeniorTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

Alaska + 10 moreAll locations: Alaska | California | Colorado | Connecticut | Maine | New Jersey | New York | Oregon | Massachusetts | Minnesota | Washington

Posted

32 days ago

Salary

$70K - $77.5K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishCloud

Job Description

Credentialing Manager

Charlie Health

• Lead, manage, and develop a team of 5+ credentialing specialists, owning team KPIs including enrollment turnaround times and applications submitted & approved • Own and operate the delegated credentialing program end-to-end, including provider onboarding, primary source verification, and maintaining NCQA-aligned standards • Lead the internal credentialing committee — presenting cases, maintaining meeting minutes, and managing approvals • Manage required payor audits and internal audits to ensure ongoing NCQA and delegated credentialing compliance • Set and drive long-term credentialing strategy, partnering with Commercial Strategy to expand delegated credentialing statuses across payors • Build and maintain a centralized “Credentialing Source of Truth” documenting payor-specific requirements (provisional credentialing, SLAs, backdating policies, etc.) • Partner with RevOps to align on KPIs and incentive structure, and with RCM to troubleshoot problem payors and credentialing-related denials • Identify and implement process improvements that increase team efficiency, including automation and AI-enabled workflows • Oversee day-to-day payor and Medicaid enrollment across group and individual submissions, ensuring timely, accurate, and compliant applications tracked in Salesforce

Job Requirements

  • Bachelor’s degree
  • 5+ years of experience in provider credentialing and/or health plan enrollment
  • Direct, hands-on experience owning or operating a delegated credentialing program is required, including primary source verification, credentialing committee operations, and NCQA standards
  • 2+ years of people management experience leading a credentialing or enrollment team preferred
  • Experience with both Medicaid and Commercial payor enrollment
  • Comfort with process improvement and a track record of leveraging automation and emerging technologies (including AI) to streamline operations
  • Strong cross-functional collaboration skills across RevOps, RCM, Commercial Strategy, and Compliance
  • Work authorized in the United States and native or bilingual English proficiency
  • Familiarity with and willingness to use cloud-based communication software — Google Suite, Slack, Zoom, Dropbox, Salesforce

Benefits

  • comprehensive benefits to all full-time, exempt employees

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