Credentialing & Enrollment Manager

About UpLift
At UpLift, we believe mental health is just as important as physical health. We're rethinking the mental healthcare model to make it more accessible. While 1 in 5 Americans struggle with mental health issues, only 40% get care because of barriers like cost, distance, information, and the stigma associated with it. Providers want to meet and support more people-but only 30% of therapists accept insurance because of complex and slow approval systems. UpLift bridges clients, providers, and insurers, so everyone can find great mental health care at an affordable rate. We use technology to deliver personalized provider matches, so clients have the agency to select the right provider for them.
Backed by Redesign Health, B Capital, and more, we have brought affordable and accessible mental health care to clients and are looking for driven and empathetic new team members to help us as we scale to new markets in 2023 and beyond. Our founders and leaders come from other high-growth healthcare startups, such as Cityblock Health, Clover, Oscar Health and hims & hers.
Benefits We Offer

• Remote and flexible working environment: work from anywhere in the US!
• Competitive compensation packages in line with industry standards
• Medical, Dental, and Vision coverage with $0 monthly premium options
• 18 days PTO and 12 paid company holidays
• Bi-annual performance reviews & development plans
• Complimentary One Medical Membership
• Fully paid parental leave
• Annual "work from home" stipend

About the Role
The credentialing team at UpLift is growing and we are looking to add our first manager to own the function. This role will report directly to UpLift's Director of Revenue Cycle and work with the broader operations team on a daily basis. As an early leader of our growing credentialing team, you'll directly support your department, our CVO partner & our growing network of therapists and psychiatrists.
Responsibilities

• Build and improve systems and processes to ensure providers and facilities are properly credentialed and enrolled with contracted health plans
• Oversee delegated relationship, new delegated applications and audit process for delegated payers
• Work cross functionally with clinical operations, customer experience, and the people team to improve the provider onboarding experience
• Manage a team of credentialing associates and senior associates
• Manage and maintain strong relationships with vendor partners in the credentialing space
• Solve problems and issues related to credentialing, delegated credentialing and enrollment quickly and systematically
• Build reporting and monitoring to measure and maintain the health of the credentialing and enrollment functions and drive down turnaround times
• Maintains up to date knowledge of insurance health plan requirements for credentialing providers, credentialing facilities, enrollment requirements, including delegated credentialing requirements per NCQA
• Prepares, updates and modifies policies, procedures and processes that relate to credentialing and enrollment as needed/requested
• Assists the team with other functions as needed/requested
• Build relationships with provider relations representatives at established payers

Relevant Experience

• Minimum of 5+ years experience in a credentialing role, 2+ years managerial experience
• Experience working with CAQH and/or Medallion
• Experience with PECOS
• Strong communication skills, verbal and written
• Strong attention to detail
• Incredibly empathetic with strong active listening skills, yet able to maintain appropriate boundaries
• Bonus: experience working with customer service tools, e.g., Zendesk, Intercom

Additional Information
This role is remote and offers a full-time salary of $80,000-$100,000 per year plus benefits & equity.