Delegated Credentialing Manager

Posted 9 Days Ago
Hiring Remotely in USA
Remote
3-5 Years Experience
Healthtech • Social Impact • Software
We’re transforming mental healthcare accessibility by helping therapists launch tech-driven, in-network practices.
The Role
The Delegated Credentialing Manager will manage a team overseeing the credentialing process for healthcare providers, handle audits with payors for compliance, lead the Delegated Credentialing Committee meetings, and monitor the average time for credentialing to ensure efficiency and adherence to regulations.
Summary Generated by Built In

About us: 

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

What You’ll Be Doing: 

We’re looking for an experienced Delegated Credentialing Manager who is passionate about improving the landscape for mental healthcare. In this role, you’ll manage a team that oversees the credentialing process for healthcare providers and manage audits with payors to ensure compliance with industry standards and regulations. You’ll be part of a remote-friendly team, reporting directly into the Senior Manager of Credentialing & Enrollments. 


Your responsibilities will include: 

  • Payor Audits: Develop and manage the payor audit process, ensuring compliance with payor requirements and conducting regular internal audits to maintain accuracy and compliance.
  • Committee Leadership: Oversee the Delegated Credentialing Committee and lead monthly meetings to review and discuss the credentialing process, identify areas for improvement, and implement necessary changes.
  • Monitor Average Time to Credential: Ensure that the average time it takes to credential a provider remains below 7 days by maintaining our relationship with our Certified Verification Organization (CVO) and liaising with our Implementation Team to ensure that operations continue to run smoothly.


Day-to-day Activities Include:

  • Managing our Delegated Credentialing Specialists who are responsible for writing up issues files to present to committee and ongoing monitoring oversight. (35%)
  • Serving as the primary point of contact on all payor communications related to delegated credentialing, including preliminary and annual audits. (25%)
  • Overseeing our team of Offshore Assistants who do a preliminary check of the provider’s application prior to CVO submission. (20%)
  • Maintaining regular communication with the CVO, sharing provider information and resolving any credentialing-related issues. (10%)
  • Overseeing the Delegated Credentialing Committee Meetings, including leading the monthly meeting. (10%)


Salary range: $110,000 - $140,000


You’ll Be a Good Fit If: 

  • Payor Audit & Relations Experience: You have a wealth of experience in managing payor audits, and you know how to prepare for them effectively and efficiently. Maintaining positive relationships with various payors and auditors comes to you easily because you are quick to understand their requirements and address their concerns.
  • Regulatory Compliance Expertise: You have an in-depth knowledge of credentialing regulations and payor-specific requirements, and you know how to ensure that all processes comply with these regulations. You’re excited about continuously staying updated on industry trends and best practices so that the organization remains compliant and competitive.
  • Team Management: You’ve previously managed and led a team of delegated credentialing specialists by fostering their productivity, performance, and professional development while creating a collaborative and efficient work environment.
  • Technologically Savvy: You’re familiar with provider management software, and you’re not afraid to use a new system. You’re excited about using these tools to streamline the credentialing process and monitor provider data.
  • Data-Driven Critical Thinking: You’re comfortable analyzing and interpreting data sets related to credentialing, using evidence-based insights to make informed decisions, driving process improvements, and optimizing compliance and efficiency.
  • Confidentiality: You’re known for your high degree of professionalism and discretion when handling sensitive provider information and payor audit data.


If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. 

Benefits

  • The chance to drive impact within the mental healthcare landscape from day one
  • Comprehensive health insurance plans, including dental and vision
  • Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
    • Flexible working hours and location (remote OR in-office, your choice!)
    • Flexible Time Off 
    • Company-wide winter break 
    • Mental health mornings (2 hours each week)
    • Team meditation
    • Wellness Stipend
    • In-office lunch and biweekly remote lunch on us! 
  • Continuous learning opportunities 
  • Competitive salary 
  • The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities 

#LI-REMOTE

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. 

What the Team is Saying

Sami
Sasha
Caroline
Lydia
Chris
The Company
HQ: New York, NY
425 Employees
Hybrid Workplace
Year Founded: 2020

What We Do

We believe that therapy is an essential part of becoming the best versions of ourselves. No matter who you are or where you are starting, it’s more than support through challenge - it’s the foundation to grow, heal and lead lives that are more resilient, empathic, hopeful and powerful.

Everyone should have the opportunity to receive personalized therapy, and therapists should be able to serve the communities they care about most, not just the 10% of people who can afford to pay out of pocket.

Our mission is to get more people into therapy by bridging the gap between therapists and people seeking mental health care.

Grow Therapy empowers independent therapists to launch and grow thriving in-network private practices by enabling them to tap into large scale credentialing, referrals, administrative and community support enabled by our passionate team/products. When therapists no longer have the hassle of mundane admin tasks like billing and insurance claims or the limitations of out-of-pocket-only payment options, they can provide care to the communities who need it most!

To achieve our lofty ambitions, we’re building an ambitious team of entrepreneurs and mission-driven go-getters. Our founders come from Harvard Medical School, Stripe, and Blackstone, and bring Grow’s mission to life from the inside-out, promoting holistic wellness for all team members. We balance our determination with a culture that champions well-being, from unlimited PTO and a Winter Break to Mental Health Mornings and learning and wellness stipends.

Grow is backed by top VCs and angel investors, including leaders from SignalFire, Village Global, Airbnb, Nurx, PatientPing, and Blackstone. We have a long way to go to maximize our impact, but if we do our job well, in the coming years we will make a difference in countless lives. We hope you’ll join us!

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Grow Therapy Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

We are remote first with an optional office in NYC.

Typical time on-site: Flexible
HQNew York, NY
Our New York office is located right in the heart of SoHo!

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