Payor Enrollment Manager (Credentialing)

We’re looking for a Provider Enrollment Manager who is passionate about improving the landscape for mental healthcare.  In this role, you’ll own the provider enrollment processes for all of our contracted payors, so you’ll play a key role in getting our providers in-network with some of the country’s largest health plans.

In this role you'll:

• Effectively manage a team of Enrollment Specialists and contractors responsible for the day-to-day provider enrollment operations
• Hire and train additional Specialists and/or contractors as necessary
• Assist in build of clear hiring and performance metrics
• Oversee regular reviews to validate the accuracy of our internal credentialing data against the payor’s data to ensure our credentialing data serves as a source of truth across the organization
• Work with the Revenue Cycle Management team on any patterns of claim denials that may be related to Credentialing
• Serve as an escalation point for the Enrollment Specialists as payor-related issues arise
• Work with the Enrollment Specialists to build out new protocols as we expand to work with new payors
• Generate weekly and monthly metrics to assess overall payor health and identify areas of focus
• Partner with various department leads to build new and streamline existing workflows as necessary

The salary range for this position is $107,000 - $135,000 USD.

You’ll Be a Good Fit If: 

• You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:
• Certified Provider Credentialing Specialist (CPCS) with at least four years of experience in Provider Credentialing OR at least six years of experience in Provider Credentialing
• Strong familiarity with credentialing processes, terminology and primary source verification resources; these include: CAQH, NPDB, PECOS, State Licensing, Accreditation and Certification agencies
• You know your way around managing a team. You’re well-versed in hiring, training new employees and performance management.
• You’re great at identifying areas for improvement then revamping operations appropriately to achieve the goal.
• You have excellent communication skills.  You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.
• You know how to hold people accountable. You drive clarity on what’s needed to get something done, and you ensure deadlines are met.
• You’re tech savvy. You’ve efficiently learned new software in the past, and you’re willing to learn HubSpot, Verifiable, Slack, and Excel if you don’t know how to use them already.
• You’re comfortable with a face-paced, high growth environment.

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.