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Delegated Credentialing Manager

Remote

About us: 

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

What You’ll Be Doing: 

We’re looking for an experienced Delegated Credentialing Manager who is passionate about improving the landscape for mental healthcare. In this role, you’ll manage a team that oversees the credentialing process for healthcare providers and manage audits with payors to ensure compliance with industry standards and regulations. You’ll be part of a remote-friendly team, reporting directly into the Senior Manager of Credentialing & Enrollments. 

 

Your responsibilities will include: 

  • Payor Audits: Develop and manage the payor audit process, ensuring compliance with payor requirements and conducting regular internal audits to maintain accuracy and compliance.
  • Committee Leadership: Oversee the Delegated Credentialing Committee and lead monthly meetings to review and discuss the credentialing process, identify areas for improvement, and implement necessary changes.
  • Monitor Average Time to Credential: 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.

 

Day-to-day Activities Include:

  • Managing our Delegated Credentialing Specialists who are responsible for writing up issues files to present to committee and ongoing monitoring oversight. (35%)
  • Serving as the primary point of contact on all payor communications related to delegated credentialing, including preliminary and annual audits. (25%)
  • Overseeing our team of Offshore Assistants who do a preliminary check of the provider’s application prior to CVO submission. (20%)
  • Maintaining regular communication with the CVO, sharing provider information and resolving any credentialing-related issues. (10%)
  • Overseeing the Delegated Credentialing Committee Meetings, including leading the monthly meeting. (10%)


Salary range: $110,000 - $140,000



You’ll Be a Good Fit If: 

  • 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. Maintaining positive relationships with various payors and auditors comes to you easily because you are quick to understand their requirements and address their concerns.
  • 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. You’re excited about continuously staying updated on industry trends and best practices so that the organization remains compliant and competitive.
  • 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. You’re excited about using these tools to streamline the credentialing process and monitor provider data.
  • 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.

 

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. 

Benefits

  • The chance to drive impact within the mental healthcare landscape from day one
  • Comprehensive health insurance plans, including dental and vision
  • Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
    • Flexible working hours and location (remote OR in-office, your choice!)
    • Generous PTO 
    • 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 
  • The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities 

#LI-REMOTE

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. 

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