Credentialing Manager

Before you apply

Job source

Ats

Applying on

talkspace.com

Workplace

Fully remote

US state

NY

Category

IT

Link last checked

6 hours ago

Posted

2 weeks ago

Closes

No stated closing date

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About the role

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone! We are looking for an experienced Credentialing Manager to join our Credentialing (Clinical Quality Operations) team. This role would be responsible for streamlining operational processes and optimizing credentialing workflows. Key responsibiliti es include assisting in the leadership of Credentialing Interns, Associates, Specialists, and Supervisors to ensure alignment with organizational goals and operational efficiency. We are looking for someone who has experience preparing reports for Credentialing Committees and collaborating with Credentialing Verification Organizations (CVO) to resolve discrepancies, and who wants to bring their talents into a “for purpose” space. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare. This is a remote position working Monday - Friday 9a-6p local time. Talkspace Headquarters is located in NYC but you are not required to live in New York. What You’ll Do Supervisor responsibilities Lead and manage a small group of Credentialing Interns, Associates, and Specialists, overseeing job assignments, performance reviews, and professional development while ensuring alignment with organizational goals. Approve timesheets, provide mentorship, and offer strategic support to optimize team performance and ensure operational success. Credentialing Ensure streamlining of operational processes related to credentialing Partner with the Senior Credentialing Manager to prepare and present comprehensive credentialing packets for the Credentialing Committee as needed, including flagged file reviews, coordination of logistics, and reporting on credentialing KPIs. Liaise with the Credentialing Verification Organization (CVO) to and the Credentialing Supervisor to ensure the timely completion, downloading, and uploading of files, and maintain accurate system updates reflecting credentialing decisions. Support of the Senior Credentialing Manager to proactively collaborate with the CVO, Credentialing Supervisor credentialing Specialists to address outreach improvements, resolve inconsistencies, and facilitate weekly meetings to enhance the credentialing process. Re-credentialing Ensure a timely initiation of the re-credentialing process for the provider network with review of quality and complaint data as well as documentation and movement of providers into the process of re-credentialing to initiate the re-credentialing review Identifying non-engaging, zero-caseload providers and processing them for administrative termination when unresponsive. Seamless and efficient re-credentialing process for the provider network, maintaining compliance with regulatory and organizational standards. Coordinate with the CVO to guarantee the timely review and completion of re-credentialing processes for all clinicians while ensuring the next re-credentialing cycle is accurately scheduled. Delegation Management Support the Senior Credentialing Manager in maintaining and strengthening relationships with Enterprise clients and Account Management under delegated credentialing agreements, ensuring satisfaction and compliance with credentialing standards. Provide regular network update reports to Enterprise clients in accordance with delegated agreements. Partner with the Senior Credentialing Manager to liaise with the Business Development/Account Management team to secure new delegated contracting opportunities by completing and submitting pre-delegation enrollment packets, documenting and tracking progress and outcomes as required. Provide monthly roster reports to Enterprise clients as required with tracking and assisting with s

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