Credentialing and Payor Operations Manager

Summary

Join Wheel, a company revolutionizing virtual healthcare, as their Credentialing & Payor Operations Manager. This role requires optimizing credentialing and payor enrollment operations for efficiency and compliance. You will lead process improvements, manage provider onboarding, and develop best-in-class operational processes. The ideal candidate possesses strong operational expertise in tech-enabled healthcare, experience with credentialing and payor enrollment, and excellent communication skills. This position offers the opportunity to work remotely with preferred locations across the US. The role involves collaborating with cross-functional teams to streamline processes and leverage technology for enhanced efficiency.

Requirements

• 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

Responsibilities

• 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