Credentialing Manager

September 12

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Lavender

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Healthcare Insurance • Telecommunications • Wellness

Lavender is an online psychiatry and therapy office that offers convenient mental health care services. Specializing in conditions such as anxiety, depression, ADHD, bipolar disorder, trauma, insomnia, OCD, and life transitions, Lavender focuses on delivering talk therapy and medication management. They provide easy booking options within a week and support clients with insurance or private pay. Lavender aims to assist individuals on their mental health and wellness journey with board-certified psychiatric nurse practitioners, available seven days a week.

51 - 200 employees

⚕️ Healthcare Insurance

📡 Telecommunications

🧘 Wellness

📋 Description

• Lead the Credentialing Team • Provide day-to-day leadership and coaching to the credentialing team, supporting workload prioritization, development, and performance • Monitor individual and team output to ensure credentialing tasks are completed accurately and on schedule • Create clarity on priorities, foster shared accountability, and help your team take pride in delivering high-quality work • Credentialing Operations • Oversee the end-to-end credentialing and re-credentialing process for all PMHNPs, ensuring compliance with all state, payer, and accreditation requirements • Ensure credentialing operations are efficient, timely, and scalable to support Lavender’s national expansion • Partner with Billing to align credentialing with payer enrollment and avoid delays in reimbursement • Collaborate with Recruiting and Onboarding teams to ensure clinicians are credentialed in advance of seeing clients • Work with Marketing to communicate new payer partnerships internally and externally • Review and maintain payer contracts and reimbursement rates, negotiating favorable terms where appropriate • Credentialing Strategy & Growth • Continuously assess credentialing systems and workflows to improve quality, efficiency, and compliance • Evaluate new payer networks and credentialing opportunities to expand access to care • Build and leverage strong payer relationships to improve reimbursement rates and streamline enrollment • Support strategic growth initiatives by ensuring credentialing is prepared to support expansion into new states or services • What Success Looks Like • Credentialing files are accurate, compliant, and submitted on schedule • New NPs are fully credentialed and able to see clients on time • Payer enrollments are completed efficiently, minimizing revenue delays • New payer relationships are established with favorable reimbursement rates • Stakeholders across Billing, Recruiting, and Leadership feel supported and informed • Geographic expansions are anticipated and executed smoothly from a credentialing perspective

🎯 Requirements

• 5+ years of experience in healthcare credentialing, including 3+ years in a leadership role • Deep understanding of commercial, Medicare, and Medicaid credentialing requirements • Experience credentialing providers across multiple U.S. states, preferably advanced practice providers • Familiarity with payer enrolment processes and how credentialing ties into billing workflows • Experience negotiating payer contracts and reimbursement rates • Prior involvement in building or managing delegated credentialing programs (preferred) • Strong knowledge of NCQA, CMS, and other regulatory and compliance standards • Ability to design efficient processes, manage a high-performing team, and identify opportunities for improvement • Excellent written and verbal communication skills, including the ability to collaborate across functions and serve as a key point of contact • Detail-oriented, solution-focused, and self-motivated with a passion for driving impact

🏖️ Benefits

• To Learn More Visit our careers page at: https://www.joinlavender.com/careers • Bring Your Whole Self to Work Lavender is committed to building a workplace where everyone can thrive. We are proud to be an equal opportunity employer and do not discriminate on the basis of race, religion, gender, sexual orientation, age, disability, national origin, or any other legally protected status. If you require accommodation during the recruitment process, please contact: people@joinlavender.com. Apply now Operations Remote (Philippines) Share on: Apply now Terms of service Privacy Cookies Powered by Rippling