11 days ago

Senior Credentialing & Payer Enrollment Manager

Rula

Hybrid
Full Time
$140,000
Hybrid

Job Overview

Job TitleSenior Credentialing & Payer Enrollment Manager
Job TypeFull Time
CategoryCommerce
Experience5 Years
DegreeMaster
Offered Salary$140,000
LocationHybrid

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Job Description

About Rula

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 Senior 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

Benefits and Perks

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.

Key skills/competency

  • Provider Credentialing
  • Payer Enrollment
  • Regulatory Compliance
  • Operational Excellence
  • Team Management
  • Data Analysis
  • Healthcare Operations
  • Process Improvement
  • CRM Management
  • Audit Management

Tags:

Senior Credentialing & Payer Enrollment Manager
provider credentialing
payer enrollment
regulatory compliance
team management
operational excellence
data analysis
CVO management
CRM
workflow management
audits
Excel
GSheets
Salesforce
HubSpot
VLOOKUPS
pivot tables

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How to Get Hired at Rula

  • Research Rula's culture: Study their mission, values, recent news, and employee testimonials on LinkedIn and Glassdoor to align with their mental health advocacy.
  • Tailor your resume: Customize your resume to highlight extensive experience in high-volume healthcare credentialing and payer enrollment functions, using keywords from the Senior Credentialing & Payer Enrollment Manager description.
  • Showcase leadership and analytical skills: Prepare examples demonstrating your ability to lead teams, manage complex datasets with Excel/GSheets, and drive operational excellence in a fast-paced healthcare environment.
  • Understand Rula's remote-first model: Be prepared to discuss how you thrive in a 100% remote work setting, ensuring productivity and collaboration with distributed teams for a Senior Credentialing & Payer Enrollment Manager role.
  • Demonstrate regulatory expertise: Highlight your deep understanding of ongoing regulatory requirements, payer variations, and government credentialing to show readiness for compliance leadership.

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