Credentialing and Payor Operations Manager

February 5

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

⛰️ Colorado – Remote

Although this job is listed in Colorado, this company may be open to hiring remote in other states.

+5 more states

🏄 California – Remote ⛰️ Colorado – Remote 🌽 Illinois – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $111k - $150k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

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Wheel

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Wheel is a leading platform for consumer-centric virtual care, designed to provide personalized, convenient, and comprehensive healthcare. Wheel offers a seamless virtual care solution for both companies and clinicians, enabling businesses to easily grow their healthcare offerings and deliver high-quality care at scale. For clinicians, Wheel provides a flexible and rewarding platform that allows them to work with multiple companies under one schedule and contract, all while operating remotely. The company partners with digital health companies, health plans, life sciences companies, and retailers to offer services including convenience care, urgent care, and condition-specific care programs. Trusted by Fortune 50 companies and supported by a robust clinician network, Wheel has facilitated over five million patient visits and maintains a high clinician satisfaction rate.

Careers • Recruiting • Healthcare Recruiting • telehealth • telemedicine

201 - 500 employees

Founded 2018

⚕️ Healthcare Insurance

☁️ SaaS

📡 Telecommunications

💰 $150M Series C on 2022-01

📋 Description

•Own & optimize credentialing and payor enrollment operations to ensure efficiency, compliance, and scalability. •Lead process improvements across credentialing workflows, ensuring alignment with cross-functional teams (Provider Ops, RCM, Product, and Solutions teams). •Manage provider onboarding & enrollment workflows, ensuring accurate, timely completion. •Develop, document, and scale best-in-class operational processes to support provider enrollment & credentialing at scale. •Collaborate with internal stakeholders to drive operational improvements and tech-enabled solutions to streamline credentialing and overall provider onboarding/experience. •Serve as a key point of contact for payor enrollment-related issues, providing problem-solving expertise and resolution strategies. •Support cross-functional initiatives related to provider onboarding and network expansion. •Identify automation and tooling opportunities to enhance operational efficiency in credentialing & payor enrollment processes.

🎯 Requirements

•5+ years of experience in healthcare operations, credentialing, payor enrollment, or related fields. •Experience in a tech-enabled healthcare or digital health company (startups or high-growth environments preferred). •Strong operational expertise with a track record of optimizing workflows, implementing scalable solutions, and improving efficiency. •Familiarity with payor enrollment processes, provider credentialing, and compliance regulations. •Experience managing cross-functional projects and working with internal teams to improve provider operations. •Tech-savvy mindset, with experience leveraging technology to drive process improvements. •Strong problem-solving skills and the ability to work in a fast-paced, dynamic environment. •Excellent communication and organizational skills.

🏖️ Benefits

•Medical, Dental and Vision •Ancillary: Life, Short and Long Term Disability •401K match •Flexible PTO •Parental Leave •Stock options •Additional programs and perks