Sr. Credentialing & Payer Enrollment Manager (Remote)

AI overview

Shape provider credentialing and payer enrollment processes while leading a team to ensure compliance, efficiency, and high-quality care delivery in a dynamic healthcare environment.

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.

About the Role

We are seeking a Sr. Credentialing & Payer Enrollment Manager to lead one of Rula’s most critical operational functions. This role is for someone who deeply understands provider credentialing and payer enrollment and knows how to run these processes at scale while navigating complexity, regulation, and nuance. The right candidate will bring a hands-on, strategic approach paired with high analytical rigor to drive operational excellence.

You’ll lead a team of specialists, own end-to-end credentialing and enrollment outcomes, and partner across the company to ensure providers are credentialed and enrolled accurately, compliantly, and efficiently. Your expertise will directly shape how Rula brings high-quality care to patients with our payer partners.

Required Qualifications

  • 7+ years of progressively responsible experience leading provider credentialing, payer enrollment functions within a high-volume, multi-payer healthcare environment, with demonstrated ownership of outcomes

  • Deep provider credentialing & payer enrollment expertise at a healthcare company, with a strong understanding of ongoing regulatory requirements, payer variations, audits, government credentialing, etc.

  • Demonstrated experience directly managing and developing teams, including setting expectations, 1:1 coaching, and delivering performance feedback across operational functions

  • Proficiency utilizing Excel/GSheets, with an ability to create pivot tables, basic visualizations, VLOOKUPS to build, interpret, and act on complex datasets autonomously to tell accurate stories and drive business decisions

Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.

  • Experience managing a CVO and/or overseeing external credentialing partners, including setting expectations, monitoring performance, resolving issues, and ensuring quality and compliance

  • Direct interaction with credentialing committees or delegated credentialing models, and providing recommendations, case preparations, documentation

  • Hands-on expertise managing provider data at scale in a CRM (i.e. Salesforce, HubSpot) or operational system to track provider credentials, demographic data, enrollment status, and workflow progress

  • 2+ years experience at a high-growth startup or similar fast-paced environment (i.e. management consulting)

  • 2+ years experience managing both offshore agents and vendor partners

We're serious about your well-being! As part of our team, full-time employees receive:

  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)

  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA

  • 401(k) plan access: Start saving for your future

  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering

  • Employee Assistance Program (EAP): Support for your mental and physical health

  • New hire home office stipend: Set up your workspace for success

  • Quarterly department stipend: Fund team-building activities or in-person gatherings

  • Wellness events and lunch & learns: Explore a variety of engaging topics

  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

Perks & Benefits Extracted with AI

  • Health Insurance: Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
  • Home Office Stipend: New hire home office stipend: Set up your workspace for success
  • Community and employee resource groups: Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences
  • Paid Parental Leave: Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
  • Paid Time Off: Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
  • Remote-Friendly: 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments
Salary
$165,750 – $185,250 per year
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