[Hiring] Credentialing & Enrollment Manager @Steadfast Health

Role Description

The Credentialing & Enrollment Manager will oversee all aspects of provider credentialing, enrollment, and licensure activities for Steadfast Health’s clinical staff. This includes:

• Credentialing and re-credentialing providers with commercial and government health plans.
• Maintaining relationships with hospital partners for hospital credentialing to support our inpatient consult service line.
• Managing provider licensure (i.e. State Medical License or DEA registration) across multiple states.
• Serving as a key liaison between internal leadership, clinical providers, health plans, and credentialing bodies to ensure all providers are fully authorized to deliver care in a compliant and timely manner.

Responsibilities

• Health Plan Credentialing & Enrollment:
  • Manage all provider credentialing and re-credentialing activities with commercial payers, Medicaid, and Medicare.
  • Prepare and submit accurate and complete credentialing applications for behavioral health and medical providers.
  • Maintain up-to-date provider rosters and ensure timely updates with payers.
  • Track and monitor credentialing application status, proactively resolving delays or issues.
• Hospital & Facility Credentialing:
  • Oversee the process of credentialing providers with hospital and facility partners to support our inpatient consult service line.
  • Collaborate with hospital medical staff offices to ensure provider files meet facility requirements.
  • Oversee the process of credentialing support team members who need hospital privileges.
• Licensure Management:
  • Manage and track all provider licenses needed for providers to perform services across multiple states.
  • Support providers in obtaining new state licenses as Steadfast Health expands its footprint.
  • Ensure all credentials, certificates, and licenses are current and compliant with federal, state, and payer regulations.
• Process Development & Oversight:
  • Develop and maintain standardized credentialing policies, procedures, and workflows.
  • Implement systems (such as CAQH, credentialing databases, or software tools) to streamline credentialing operations.
  • Maintain credentialing files in accordance with NCQA, URAC, and other regulatory standards.
  • Generate regular reports on credentialing status, expirations, and compliance risks for leadership review.

Qualifications

• 3–5+ years of experience in provider credentialing and enrollment with commercial and government payers.
• Strong understanding of healthcare compliance, payer requirements, and credentialing standards.
• Strong understanding of CAQH and payer portals for initial enrollments as well as provider adds.
• Experience managing provider licensure and DEA registrations across multiple states.
• Excellent attention to detail, organizational skills, and ability to manage multiple priorities.
• Strong written and verbal communication skills; ability to communicate effectively with internal and external stakeholders.

Requirements

• Experience with behavioral health credentialing, including BH-specific payer requirements.
• Familiarity with hospital medical staff credentialing and privileging processes.
• Prior experience in a multi-state or multi-site healthcare organization.
• CPCS or CPMSM certification (NAMSS) preferred but not required.

Benefits

• Healthcare Coverage: Medical, dental, and vision insurance, with the company contributing 60% of the premium on your behalf.
• Time Off: Flexible time off with generous PTO, floating paid holidays, and paid volunteer days.
• Re-Fuel Days: 4 additional paid days off per year for mental health, rest, or continuing education (CEU) activities.
• Employee Assistance Program (EAP): Free, confidential access to therapist sessions, legal guidance, financial resources, health coaching, and more - to support your overall well-being.
• 401K Match up to 5%.
• 100% employer-paid short-term and long-term disability and employer-sponsored life insurance.
• Additional Benefits: Rightway Health Concierge, PerkSpot discount program, SoFi student loan interest rate discount, and one year of free pet telehealth through Pawp.
• An opportunity to get in at the ground level and shape how we grow!