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Senior Manager of Strategic Credentialing and Network Operations (Fully Remote)

Blackbird Health

New York, NY
  • Remote job

Report directly to the SVP of Finance and own the credentialing engine end-to-end. Scale delegated credentialing with commercial and Medicaid health plans. This is a fully remote opportunity. How You’ll Make an Impact: Own multi-state provider enrollment across commercial and Medicaid/MCO plans to drive down ramp time. Direct third-party credentialing vendors with clear KPIs and SLAs. Build and operationalize health plan delegated credentialing arrangements for audit readiness. What Makes You, You: Deep knowledge of NCQA standards, health plan delegation audits, and MCO/Medicaid requirements. Adept at analyzing operational bottlenecks and automating workflows. Proven success building collaborative relationships with health plan directors and internal stakeholders. The Basics You’ll Need: 8+ years of healthcare credentialing and provider enrollment experience, multi-state behavioral/mental health preferred. Proven track record managing delegated credentialing processes and health plan audits. CPCS or CPCS-MS certification preferred. Blackbird Health Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027. #J-18808-Ljbffr Blackbird Health

Vacancy posted 3 days ago
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