growtherapy is hiring a
Delegated Credentialing Manager

Summary

Join Grow Therapy's mission to serve as the trusted partner for therapists growing their practice and patients accessing high-quality care. As a Delegated Credentialing Manager, you'll manage a team that oversees the credentialing process for healthcare providers and ensure compliance with industry standards and regulations.

Requirements

• 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
• 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
• 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
• 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

Responsibilities

• Develop and manage the payor audit process, ensuring compliance with payor requirements and conducting regular internal audits to maintain accuracy and compliance
• Oversee the Delegated Credentialing Committee and lead monthly meetings to review and discuss the credentialing process, identify areas for improvement, and implement necessary changes
• 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
• Managing our Delegated Credentialing Specialists who are responsible for writing up issues files to present to committee and ongoing monitoring oversight
• Serving as the primary point of contact on all payor communications related to delegated credentialing, including preliminary and annual audits
• Overseeing our team of Offshore Assistants who do a preliminary check of the provider’s application prior to CVO submission
• Maintaining regular communication with the CVO, sharing provider information and resolving any credentialing-related issues
• Overseeing the Delegated Credentialing Committee Meetings, including leading the monthly meeting

Benefits

• Comprehensive health insurance plans, including dental and vision
• 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