Senior Manager, Credentialing & Payer Operations

🕒 August 26

🇺🇸 United States – Remote

💵 $115k - $120k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 30%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Allara

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2020

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $26M Series B - Allara on 2025-01

Consulting • Insurance • Healthcare

<Allara> Allara is a telehealth women’s specialty care platform that provides personalized, team-based medical and nutrition care for complex hormonal, metabolic, and gynecological conditions. Through virtual visits, board-certified OB-GYNs, endocrinologists, nurse practitioners, registered dietitians, and care concierges, Allara delivers comprehensive testing, individualized treatment plans, and ongoing monitoring, with insurance-supported or self-pay options.

📋 Description

• Turn payer requirements, enrollment rules, and credentialing standards into documented, repeatable processes • Manage and develop U.S.-based and international specialists • Design workflows, systems, and data architecture for provider data management, licensing, and credentialing • Use AI tools and automations to scale operational work • Partner with Engineering and Product on automation • Manage key vendor relationships, enforce SLAs, and escalate issues • Collaborate with Growth, RCM, and Payer Strategy to identify and solve root-cause problems • Create playbooks and document solutions so the team can operate independently • Support network expansion, commercial contracting, and revenue-cycle operations

🎯 Requirements

• 5+ years of operational experience in high-growth or high-complexity environments • Ability to make complex processes simple and build scalable systems • Experience building and improving operational processes • People leadership skills, including setting expectations, giving feedback, and delegating • Hands-on use of AI to solve operational problems • Strong data skills and dashboard-based decision-making • Ability to communicate operational complexity to Engineering, Finance, and the C-suite • Comfort working with ambiguity • Preferred: background in consulting or rapid change management • Preferred: experience in telehealth, multi-state provider networks, or direct payer engagement • Preferred: hands-on experience with payer portals, including Availity and plan-specific portals • Preferred: familiarity with commercial payer requirements; Medicare and Medicaid exposure a plus • Preferred: exposure to credentialing standards such as NCQA and CMS

🏖️ Benefits

• Equity • Professional development and employee learning programs • Comprehensive medical, dental, and vision benefits • Unlimited PTO • 11 company holidays • Health Savings Account (HSA) • Flexible Spending Account (FSA) • Long-term disability coverage • Short-term disability coverage • Annual employee wellness stipend • 401(k) plan • Parental leave • Family planning support benefits • Company-issued laptop • Annual work-from-home stipend • Commuter benefits (if applicable) • Collaborative, mission-driven culture focused on improving patient care