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Senior Manager, Credentialing & Payer Operations

Full-time

Allarahealth

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 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 - 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. - 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. - 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. - 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. - 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. - 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. - 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.

Vacancy posted 25 days ago
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