- Страна
- США
- Зарплата
- 80 000 $ – 120 000 $
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Credentialing Manager
Отличная позиция в быстрорастущем healthtech-стартапе с поддержкой топовых инвесторов. Прозрачный диапазон зарплаты и возможность реально влиять на процессы компании.
Сложность вакансии
Роль требует глубоких знаний специфических систем (CAQH, NPDB) и опыта управления командой в условиях быстрорастущего стартапа. Высокая ответственность за связь между аккредитацией и циклом выручки (RCM) добавляет сложности.
Анализ зарплаты
Предлагаемый диапазон $80k–$120k полностью соответствует рыночным стандартам для менеджеров по аккредитации в США, особенно в секторе цифрового здравоохранения. Верхняя граница диапазона является весьма конкурентной для данной роли.
Сопроводительное письмо
I am writing to express my strong interest in the Credentialing Manager position at Fay. With over three years of hands-on experience in provider enrollment and a proven track record of managing teams in high-growth healthtech environments, I am confident in my ability to scale your credentialing operations. My expertise with CAQH ProView, NPDB, and major payer portals like BCBS and UHC aligns perfectly with your need for a subject matter expert who can bridge the gap between credentialing and revenue cycle management.
In my previous roles, I have not only managed high-volume application cycles but also redesigned workflows to improve SLA turnaround times and reduce denial rates. I am particularly drawn to Fay’s mission of making nutrition a pillar of preventative care and am excited by the prospect of building a tech-enabled credentialing function from the ground up. I am a 'player-coach' who thrives in fast-paced startup environments and is eager to leverage automation to ensure your dietitian network scales without friction.
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Описание вакансии
About Fay
At Fay, our mission is to make nutrition a foundational pillar of preventative care, improving outcomes, accessibility, and affordability at scale. We're building AI-powered infrastructure to transform preventative healthcare. Think that's bold? We're just getting started.
Today, Fay is a three-sided marketplace connecting providers, patients, and payers to revolutionize preventative care delivery. Our b2b2c business-in-a-box solution empowers dietitians to deliver high-quality, affordable nutrition care, helps patients take control of their health, and enables payers to build healthier member populations. Nutrition is our starting point, not the finish line. The platform we're building will expand into new areas of preventative health and wellness as we grow.
We're proud to be one of the fastest-growing companies in healthtech, backed by category-defining investors like General Catalyst, Forerunner, 1984, and Goldman Sachs.
Ready to leverage AI-driven technology to transform preventative care and make a real-world impact on health? Let's talk.
About This Role
As Credentialing Manager, you'll own provider enrollment and credentialing operations at Fay — building the systems, processes, and team structures that allow our dietitian network to scale without friction. The compensation range for this role is $80,0000-$120,000.
You'll serve as the in-house expert across a dedicated set of payers and act as the critical bridge between Credentialing and Revenue Cycle Management. This is a player-coach role: you'll set strategy, author SOPs, and own SLAs — while also rolling up your sleeves on escalations and complex payer relationships. You'll report directly to the Head of Credentialing.
If you want to build a credentialing function from the ground up at one of the fastest-growing healthtech companies in the country, this role is for you.
What You'll Be Doing
- Own a dedicated portfolio of 10–15 payers end-to-end. Be the internal subject matter expert on each payer's portal workflows, submission requirements, processing quirks, SLA windows, and escalation contacts. When something breaks, you're the one who knows why and how to fix it.
- Manage a team of Provider Enrollment Specialists responsible for application execution. You'll assign and prioritize work, review submissions before they reach payers, and hold the team accountable to quality and throughput standards.
- Audit existing credentialing workflows and implement scalable improvements — including technology enablement, process redesign, and smarter resource allocation. You'll drive toward a credentialing operation that can grow without growing headcount proportionally.
- Define and own SLAs across the credentialing lifecycle. Track and report on key metrics — turnaround time, application accuracy, denial rates, and resubmission timelines — and proactively surface and resolve bottlenecks before they impact provider go-live dates or revenue.
- Design the credentialing workflows required to operationalize net-new payer contract relationships and lead internal launch. You'll be involved early in contracting conversations to surface credentialing requirements and flag risks.
Your Skills & Experience
Required
- 3+ years of hands-on provider credentialing and enrollment experience, with at least 2 years in a lead or management capacity — ideally at a health plan, MSO, delegated credentialing entity, or high-growth digital health company
- Deep working knowledge of CAQH ProView, NPDB queries, state licensing and scope-of-practice databases, and the enrollment portals of major commercial and government payers (e.g., Aetna, BCBS, Cigna, UHC, Humana, Medicare/Medicaid)
- Demonstrated experience redesigning credentialing workflows — not just executing them — across a high volume of providers and multiple national payers simultaneously
- Experience owning credentialing KPIs and building payer health dashboards with SLA tracking and escalation management
- Strong understanding of the downstream impact of credentialing on claims, billing, and revenue cycle — and how to coordinate across those functions
- Comfortable operating in fast-moving environments where processes are still being built and priorities can shift quickly
Preferred
- Experience credentialing allied health or telehealth providers — particularly dietitians, therapists, or other non-physician specialties
- Familiarity with delegated credentialing agreements and the operational implications of delegated vs. non-delegated payer relationships
- Background at a high-growth startup or digital health company
- Tech-savvy with a strong appetite for automation and systems that enhance speed, accuracy, and scalability
Compensation Range
$80,000—$120,000 USD
Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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Навыки
- CAQH ProView
- NPDB
- Provider Enrollment
- Credentialing
- Revenue Cycle Management
- SOP Development
- SLA Management
- Medicare
- Medicaid
- Data Analysis
Возможные вопросы на собеседовании
Проверка практического опыта работы с ключевыми инструментами, указанными в вакансии.
Расскажите о вашем опыте работы с CAQH ProView и порталами крупных плательщиков (например, BCBS или UHC). С какими типичными сложностями вы сталкивались?
Вакансия предполагает роль 'player-coach', важно понять лидерские качества.
Как вы распределяете задачи в команде специалистов по регистрации поставщиков и какие метрики (KPI) используете для контроля качества их работы?
Компания нацелена на масштабирование без пропорционального роста штата.
Приведите пример процесса аккредитации, который вы успешно автоматизировали или оптимизировали. Каких результатов удалось достичь?
Аккредитация напрямую влияет на выплаты. Важно понимать эту связь.
Как вы координируете работу с отделом управления циклом выручки (RCM), чтобы минимизировать отказы по претензиям из-за проблем с аккредитацией?
Проверка способности работать в условиях неопределенности стартапа.
Опишите ситуацию, когда вам приходилось внедрять новый процесс аккредитации для нового плательщика в сжатые сроки. Как вы расставляли приоритеты?
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- Страна
- США
- Зарплата
- 80 000 $ – 120 000 $