As a Credentialing Associate Manager at SonderMind, you will play a critical role in connecting providers to clients. This is a key leadership role responsible for the operational excellence and daily performance of the credentialing function post-approval. The role serves as the critical link between management's strategic goals and the team's execution, focusing on achieving results through effective task assignment, guidance, and supervision of direct reports. Success is defined by consistently meeting departmental KPIs, ensuring providers are billable promptly, and actively developing the performance and capabilities of all direct reports. The person in this position will report directly to the Manager of Credentialing Operations.
Responsibilities
Achieve results through others by effectively assigning, managing, and monitoring daily tasks and complex workflows for direct reports; Investigate and resolve provider issues related to credentialing, collaborate with other departments, and ensure that all inquiries, concerns, and requests are addressed promptly and effectively; Execute against core business deliverables with limited guidance and direction from the manager, managing multiple projects and deliverables in parallel; Assist with NCQA Accreditation preparation, updates, and submission; Report to internal leadership on a regular basis identifying risks, mitigations, and additional opportunities; Ensure the team adheres to internal Standard Operating Procedures (SOPs) and effectively interprets established external policies (payor, state licensing, federal) for direct reports; Drive minor process and policy changes to resolve operational bottlenecks; Ensure strict compliance with all internal and external regulations; Other responsibilities and ad-hoc projects based on business needs
Requirements
Minimum two years of experience in provider Credentialing; Minimum one year of experience with insurance credentialing; Minimum two years of experience in a people leadership role; Strong understanding of credentialing processes, CAQH, and payor enrollment requirements in a behavioral health context; Experience working within NCQA Standards and a high working knowledge of the standards and updates; Exceptional attention to detail; Intellectually curious and naturally pulls the string until finding the answer; Motivated and eager to learn, with ability to adapt to new technologies, processes and workflows; Proven ability to break down simple problems using available resources and stakeholders to develop proposed solutions; Flexibility to work in a fast-paced, dynamic environment; Goal-oriented with a strong drive to achieve results at a team-level; Ability to communicate effectively, think critically to resolve issues, be willing to learn and open to feedback
Benefits
Commitment to fostering flexible hybrid work; Generous PTO policy with a minimum of three weeks off per year; Free therapy coverage benefits (must be enrolled in medical plans to participate); Competitive Medical, Dental, and Vision coverage, including HSA ($1,100 company contribution) and FSA options; Employer-paid short-term and long-term disability, life & AD&D; Salary difference covered for up to seven (7) weeks of short-term disability leave (after the required waiting period); Eight weeks of paid Parental Leave (up to 8-16 weeks combined with STD); 401K retirement plan with 100% matching vesting immediately on up to 4% of base salary; Travel to Denver once a year for annual Shift gathering; Fourteen (14) company holidays; Company Shutdown between Christmas and New Years; Supplemental life insurance, pet insurance coverage, commuter benefits; Eligible for bonus incentive program
Stany Zjednoczone · Denver
