[Hiring] Credentialing Manager @allia.health

Role Description

We’re hiring a Credentialing Manager to own credentialing and recredentialing across Allia’s national clinician network and help manage the payer relationships that sit around it. Your primary responsibility will be building and operating a high-quality credentialing function:

• Provider files
• Primary-source verification
• Credentialing Committee operations
• Recredentialing
• Monitoring
• Payer audits
• Delegated credentialing

This is a hands-on role for someone who understands both the details of provider credentialing and how health plans actually operate.

What you’ll be doing:

• Own end-to-end credentialing and recredentialing across Allia’s national clinician network, including provider applications, primary-source verification, CAQH, expirables, sanctions, exclusions, and audit-ready files.
• Run the Credentialing Committee process, including preparing files, identifying exceptions, coordinating meetings, documenting decisions, and tracking follow-up actions.
• Own delegated credentialing operations, including payer requirements, delegation agreements, audits, remediation, and ongoing compliance.
• Partner with payer contracting on credentialing, provider participation, enrollment, roster management, and implementation of new payer agreements.
• Maintain clear policies, workflows, reporting, and SLAs so leadership can see credentialing status, risks, turnaround times, and provider participation across payers.
• Continuously improve and automate credentialing workflows in partnership with Product, Engineering, Clinical, Compliance, and Operations.

Qualifications

• 5+ years of provider credentialing experience.
• Strong knowledge of CAQH, primary-source verification, and NCQA standards.
• Direct experience with delegated credentialing and payer audits.
• Experience working with commercial health plans and provider enrollment.
• Excellent attention to detail and ability to manage high-volume workflows.

Benefits

• Medical, dental, and vision insurance.
• 401(k) with employer match.
• 20 days of paid time off plus company holidays.
• Paid sick leave.
• Paid parental leave.
• Professional development support.
• Company-provided laptop and home-office equipment.
• Flexible, remote-first working environment.
• Equity participation.

Equal Opportunity

Allia Health is an equal opportunity employer. We consider qualified applicants without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. Reasonable accommodations are available throughout the interview process.