Credentialing Manager Operations Remote (Philippines)

Founded In 2020, Lavender Is The Largest Nurse-owned And Operated Online Psychiatry And Therapy Office In The United States. Our Extraordinary Team Of 100+ Talented And Like-minded Folks Works Remotely From Across The United States, Canada And The Philippines To Collaboratively Increase Access To High-quality, High-touch Mental Healthcare. Lavender Is a Human-first Organization And Our People EmbodyA bias towards actionA capacity for self-directionOriginality and creative instincts Courageous and bold thinkingAnd the potential to achieve even more If you’re looking for a fast-paced, constantly evolving environment where your voice matters and you can truly have an impact creating high-quality, user-centric mental health services, we want to hear from you!Lavender is an equal opportunity employer. We are proud to foster a workplace free from discrimination. We strongly believe that diversity of experience, perspectives and background will lead to a better environment for our team and a better experience for our clients. We strongly encourage people of color and members of the LGBTQ+ community to apply. Join the Lavender TeamWe’re hiring a Credentialing Manager to lead our credentialing function and ensure timely, accurate onboarding of Psychiatric Nurse Practitioners (PMHNPs) across the United States.This PH-based remote role is responsible for overseeing all credentialing and re-credentialing processes in compliance with payer, licensing, and accreditation standards (NCQA, CMS, Medicaid/Medicare, and state licensing boards). You’ll lead a small but high-performing team of Credentialing Coordinators, develop scalable workflows, and collaborate closely with our Billing, Recruiting, and Marketing teams to ensure seamless payer enrolment and provider onboarding.The ideal candidate is a strategic thinker and proven team leader who understands the credentialing life cycle across multiple states and payers. You’re process-driven, organized, proactive, and comfortable driving continuous improvement in a growing startup environment.What You’ll Be DoingLead the Credentialing TeamProvide day-to-day leadership and coaching to the credentialing team, supporting workload prioritization, development, and performanceMonitor individual and team output to ensure credentialing tasks are completed accurately and on scheduleCreate clarity on priorities, foster shared accountability, and help your team take pride in delivering high-quality workCredentialing OperationsOversee the end-to-end credentialing and re-credentialing process for all PMHNPs, ensuring compliance with all state, payer, and accreditation requirementsEnsure credentialing operations are efficient, timely, and scalable to support Lavender’s national expansionPartner with Billing to align credentialing with payer enrollment and avoid delays in reimbursementCollaborate with Recruiting and Onboarding teams to ensure clinicians are credentialed in advance of seeing clientsWork with Marketing to communicate new payer partnerships internally and externallyReview and maintain payer contracts and reimbursement rates, negotiating favorable terms where appropriateCredentialing Strategy & GrowthContinuously assess credentialing systems and workflows to improve quality, efficiency, and complianceEvaluate new payer networks and credentialing opportunities to expand access to careBuild and leverage strong payer relationships to improve reimbursement rates and streamline enrollmentSupport strategic growth initiatives by ensuring credentialing is prepared to support expansion into new states or servicesWhat Success Looks LikeCredentialing files are accurate, compliant, and submitted on scheduleNew NPs are fully credentialed and able to see clients on timePayer enrollments are completed efficiently, minimizing revenue delaysNew payer relationships are established with favorable reimbursement ratesStakeholders across Billing, Recruiting, and Leadership feel supported and informedGeographic expansions are anticipated and executed smoothly from a credentialing perspectiveWhat You Bring5+ years of experience in healthcare credentialing, including 3+ years in a leadership roleDeep understanding of commercial, Medicare, and Medicaid credentialing requirementsExperience credentialing providers across multiple U.S. states, preferably advanced practice providersFamiliarity with payer enrolment processes and how credentialing ties into billing workflowsExperience negotiating payer contracts and reimbursement ratesPrior involvement in building or managing delegated credentialing programs (preferred)Strong knowledge of NCQA, CMS, and other regulatory and compliance standardsAbility to design efficient processes, manage a high-performing team, and identify opportunities for improvementExcellent written and verbal communication skills, including the ability to collaborate across functions and serve as a key point of contactDetail-oriented, solution-focused, and self-motivated with a passion for driving impactWhy You Should Join LavenderWork for a mission-driven company transforming access to mental health careRemote-first work environmentA supportive, values-driven team committed to kindness and excellenceAn inclusive culture that celebrates collaboration and curiosityIn-person team meetupsCompetitive compensationTo Learn MoreVisit our careers page at: https://www.joinlavender.com/careersBring Your Whole Self To WorkLavender is committed to building a workplace where everyone can thrive. We are proud to be an equal opportunity employer and do not discriminate on the basis of race, religion, gender, sexual orientation, age, disability, national origin, or any other legally protected status.If you require accommodation during the recruitment process, please contact: people@joinlavender.com.