Steadfast Health

Compensation

Full Description

Job Description: • The Credentialing & Enrollment Manager will oversee all aspects of provider credentialing, enrollment, and licensure activities for Steadfast Health’s clinical staff. • Manage all provider credentialing and re-credentialing activities with commercial payers, Medicaid, and Medicare. • Prepare and submit accurate and complete credentialing applications for behavioral health and medical providers. • Maintain up-to-date provider rosters and ensure timely updates with payers. • Track and monitor credentialing application status, proactively resolving delays or issues. • Oversee the process of credentialing providers with hospital and facility partners to support our inpatient consult service line. • Collaborate with hospital medical staff offices to ensure provider files meet facility requirements. • Manage and track all provider licenses needed for providers to perform services across multiple states. • Support providers in obtaining new state licenses as Steadfast Health expands its footprint. • Develop and maintain standardized credentialing policies, procedures, and workflows. • Maintain credentialing files in accordance with NCQA, URAC, and other regulatory standards. • Generate regular reports on credentialing status, expirations, and compliance risks for leadership review. Requirements: • 3–5+ years of experience in provider credentialing and enrollment with commercial and government payers. • Strong understanding of healthcare compliance, payer requirements, and credentialing standards. • Strong understanding of CAQH and payer portals for initial enrollments as well as provider adds. • Experience managing provider licensure and DEA registrations across multiple states. • Excellent attention to detail, organizational skills, and ability to manage multiple priorities. • Strong written and verbal communication skills; ability to communicate effectively with internal and external stakeholders. • Experience with behavioral health credentialing, including BH-specific payer requirements. (Preferred) • Familiarity with hospital medical staff credentialing and privileging processes. (Preferred) • Prior experience in a multi-state or multi-site healthcare organization. (Preferred) • CPCS or CPMSM certification (NAMSS) preferred but not required. Benefits: • Healthcare Coverage: Medical, dental, and vision insurance, with the company contributing 60% of the premium on your behalf. • Time Off: Flexible time off with generous PTO, floating paid holidays, and paid volunteer days • Re-Fuel Days: 4 additional paid days off per year for mental health, rest, or continuing education (CEU) activities. • Employee Assistance Program (EAP): Free, confidential access to therapist sessions, legal guidance, financial resources, health coaching, and more - to support your overall well-being. • 401K Match up to 5% • 100% employer-paid short-term and long-term disability and employer-sponsored life insurance • Additional Benefits: Rightway Health Concierge, PerkSpot discount program, SoFi student loan interest rate discount, and one year of free pet telehealth through Pawp. • An opportunity to get in at the ground level and shape how we grow!