Senior Manager, Credentialing & Payer Operations

Reposted 14 Days Ago
New York, NY, USA
Hybrid
90K-100K Annually
Senior level
Healthtech
Allara is the virtual care platform closing the gap in women's hormonal and metabolic health.
The Role
Manage credentialing and payer enrollment operations as the organization scales. Build compliant, efficient workflows; oversee credentialing committees, provider data, vendors, payer relationships, SLAs, quality controls, and documentation. Lead U.S. and international specialists, establish performance standards, train staff, resolve payer and claims issues cross-functionally, and partner with product and engineering teams on automation and AI-enabled processes.
Summary Generated by Built In

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

The Opportunity

Payer Operations is one of the most complex, highest-leverage functions in healthcare, and one of the most underestimated. Getting a payer contract signed is just the beginning. What actually drives revenue is everything that comes next: credentialing, enrollment, provider data integrity, compliance, and hundreds of moving pieces that determine whether a clinician can see patients and whether a claim gets paid.

As our Senior Manager of Credentialing and Payer Operations, you'll own that complexity and make it manageable for your team, for the payers we work with, and for the business. You don't need to have come up through credentialing. You do need to thrive on finding the structure underneath the chaos and building for scale.

This role sits at the intersection of operations, revenue, and technology. You'll design the playbooks, lead the team that runs them, and partner with Engineering and Product to automate what shouldn't be manual. You'll have a direct line to senior leadership and a seat at the table in conversations that drive national expansion.

Credentialing and Payer Operations touches everything, from network expansion to commercial contracting to revenue cycle. People who do this job well gain skills that could lead to growth in different parts of the org, from payer strategy and partnerships to broader operations leadership. If you want to understand how healthcare actually works and get paid to fix it, this is a strong launchpad for a career with a lot of room.

Location: Hybrid (NYC). We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed.

Your Impact

  1. Make the complex manageable. Take the tangle of payer requirements, enrollment rules, and credentialing standards and turn them into documented, repeatable processes your team can run without you in the room every time.

  2. Lead and develop your team. Manage a mix of U.S.-based and international specialists. Set clear expectations, give direct feedback, develop people, and build a team culture where high standards are the norm, not the exception.

  3. Build infrastructure that scales. Design the workflows, systems, and data architecture for provider data management, licensing, and credentialing. Build for where the company is going, not just where it is.

  4. Use AI to punch above your weight. You'll bring genuine enthusiasm and real experience to using AI tools and automations, and you'll partner with Engineering and Product to scale what would otherwise take five more people.

  5. Own vendor and key payer relationships on the ops side. Manage key vendor relationships, hold them to SLAs, and escalate when they slip. Make sure external dependencies don't become internal bottlenecks.

  6. Be the bridge. Work cross-functionally with Growth, RCM, and Payer Strategy to surface root-cause problems and solve them permanently. Not just this claim, but the next thousand.

  7. Codify everything. When you solve something, you write it down. Your goal is that the team can handle any situation because you built the playbook, not because you happened to be in the room.

Required Qualifications

We care more about how you think and operate than what's on your resume.

  • 5+ years of operational experience in high-growth or high-complexity environments. Consulting, healthcare, or operations backgrounds all translate well.

  • You make complex things simple. Not by cutting corners, but by finding the actual structure underneath the chaos and building systems that hold at scale.

  • You build, not maintain. You see a manual, inconsistent process and can't help but fix it. And you know the difference between a quick patch and a real solution.

  • You lead people well. You set clear expectations, give real feedback, and know when to delegate and when to dig in yourself.

  • AI is already in your toolkit. You've actually used AI to solve operational problems, and you're curious, not just enthusiastic, about where else it can go.

  • You're strong with data. You make decisions from dashboards, not intuition. You’re the type of person who always starts the morning knowing your numbers.

  • You communicate across the org. You can move things forward without direct authority and translate operational complexity into language that makes sense to Engineering, Finance, and the C-suite.

  • You're comfortable with ambiguity. You make progress without perfect information and improve the picture as you go.

Preferred Qualifications

  • Background in consulting or rapid change management

  • Experience in telehealth, multi-state provider networks, or direct payer engagement

  • Hands-on experience with payer portals (Availity, plan-specific portals)

  • Familiarity with commercial payer requirements; Medicare and Medicaid exposure a plus

  • Exposure to credentialing standards (NCQA, CMS)

What Allara Offers

  • Compensation & Career Growth

    • $115,000 - $120,000 with opportunities for advancement

    • Equity

    • Professional development & employee learning programs

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.

  • Work Environment & Flexibility

    • 3-day hybrid in NYC

    • Unlimited PTO & 11 company holidays

  • Health & WellnessFully

    • Medical, dental, and vision benefits

    • Health Savings Account (HSA) & Flexible Spending Account (FSA)

    • Long- and short-term disability coverage

    • Annual employee wellness stipend

  • Family & Future Planning

    • 401(k) plan

    • Parental leave & family planning support benefits

  • Additional Perks

    • Company-issued laptop

    • Annual work-from-home stipend

    • Commuter benefits (if applicable)

    • A collaborative, mission-driven culture focused on improving patient care

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Skills Required

  • 5+ years of experience in high-growth operations
  • Direct exposure to provider credentialing, licensing, and payer enrollment
  • Ability to build and improve operational systems in fast-moving, resource-constrained environments
  • Strong attention to process, efficiency, and detail
  • Strong analytical skills, including data analysis, trend identification, and operational decision-making
  • Excellent cross-functional communication and ability to influence without direct authority
  • Interest in automation, tooling, and AI
  • Experience in telehealth or multi-state provider network operations
  • Hands-on experience with payer portals and third-party portals such as Availity
  • Familiarity with commercial payer requirements; Medicare and Medicaid experience is a plus
  • Experience in multi-state telehealth, digital health, or high-growth healthcare environments
  • Exposure to credentialing standards such as NCQA and CMS
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The Company
HQ: New York, New York
200 Employees
Year Founded: 2020

What We Do

Allara is a virtual care platform for women living with hormonal, metabolic, and gynecological conditions like PCOS, endometriosis, perimenopause, and thyroid disorders. These conditions affect millions of women, yet they remain under-diagnosed and under-treated. The typical patient spends years bouncing between disconnected specialists, repeating her story, and leaving without a clear plan. We exist to fix that broken experience. Allara brings OB/GYNs, Endocrinologists, Nurse Practitioners, and Registered Dietitians onto one connected care team. Instead of treating a single symptom in isolation, our clinicians look at the whole picture, from labs and medication to nutrition and lifestyle, and build a coordinated, evidence-based plan for each member. Care is delivered virtually, on the member's schedule, with the kind of continuity that traditional healthcare rarely offers for these conditions. Making that possible takes serious technology and clinical infrastructure. Our team builds and scales the systems behind the entire member journey: care delivery and messaging, scheduling, clinical and provider workflows, data pipelines, and the member-facing experience. Every part of the product connects directly to how well we can treat people. We treat women's health as the serious, science-backed field it has always deserved to be, and we're growing quickly in a market that legacy healthcare has overlooked for decades. It's a rare combination: a large, meaningful problem, real momentum, and a team small enough that your work is visible and matters.

Why Work With Us

We're a small, fast-moving team where engineers own real systems end to end and ship quickly. Modern stack, meaty problems, and a short line from your work to patient outcomes. If you want to build in a space finally getting the investment it deserves, this is the place.

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