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Credentialing and Payor Operations Manager
@Wheel
[Hiring] Credentialing and Payor Operations Manager @Wheel
Feb 06, 2025 - Wheel is hiring a remote Credentialing and Payor Operations Manager. 💸 Salary: $111,000 - $150,000. 📍Location: USA.
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Role Description
We are looking for a Credentialing & Payor Operations Manager who can bridge the gap between credentialing/payor enrollment strategy and operational execution. This individual should have strong operational process expertise, experience in tech-enabled healthcare environments, and a working knowledge of credentialing & payor enrollment.
- Own & optimize credentialing and payor enrollment operations to ensure efficiency, compliance, and scalability.
- Lead process improvements across credentialing workflows, ensuring alignment with cross-functional teams (Provider Ops, RCM, Product, and Solutions teams).
- Manage provider onboarding & enrollment workflows, ensuring accurate, timely completion.
- Develop, document, and scale best-in-class operational processes to support provider enrollment & credentialing at scale.
- Collaborate with internal stakeholders to drive operational improvements and tech-enabled solutions to streamline credentialing and overall provider onboarding/experience.
- Serve as a key point of contact for payor enrollment-related issues, providing problem-solving expertise and resolution strategies.
- Support cross-functional initiatives related to provider onboarding and network expansion.
- Identify automation and tooling opportunities to enhance operational efficiency in credentialing & payor enrollment processes.
Qualifications
- 5+ years of experience in healthcare operations, credentialing, payor enrollment, or related fields.
- Experience in a tech-enabled healthcare or digital health company (startups or high-growth environments preferred).
- Strong operational expertise with a track record of optimizing workflows, implementing scalable solutions, and improving efficiency.
- Familiarity with payor enrollment processes, provider credentialing, and compliance regulations.
- Experience managing cross-functional projects and working with internal teams to improve provider operations.
- Tech-savvy mindset, with experience leveraging technology to drive process improvements.
- Strong problem-solving skills and the ability to work in a fast-paced, dynamic environment.
- Excellent communication and organizational skills.
Requirements
- Pay Range: $111,000 - $150,000.
- Final offer amounts are determined by multiple factors including, but not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
- Wheel is unable to consider sponsoring a new qualified applicant for employment authorization for this position.
- The role will remain open until March 28, 2025.
- Any eligible candidate that meets the essential criteria of the role may apply via the job posting or through Wheel’s career page up until the designated application deadline.
Benefits
- Medical, Dental and Vision
- Ancillary: Life, Short and Long Term Disability
- 401K match
- Flexible PTO
- Parental Leave
- Stock options
- Additional programs and perks
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
$111,000 - $150,000
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Feb 06, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
