Remote Jobs RockRemote Jobs Rock

Senior Manager, Credentialing & Payer Operations

πŸ“… Sep 24
Credentialing OperationsPayer OperationsProvider EnrollmentProcess Design
Apply Now

πŸ“œ Description

  • Turn payer requirements, enrollment rules, and credentialing standards into documented, repeatable processes.
  • Lead and develop U.S.-based and international specialists, setting expectations and building a high-standards team culture.
  • Design scalable workflows, systems, and data architecture for provider data management, licensing, and credentialing.
  • Partner with Engineering and Product to automate operational work using AI tools and other automations.
  • Manage key vendors and payer operations relationships, monitor SLAs, and escalate issues.
  • Work with Growth, RCM, and Payer Strategy to identify root causes and build lasting solutions.

πŸ› οΈ Requirements

  • 5+ years of operational experience in high-growth or high-complexity environments. Consulting, healthcare, or operations backgrounds all translate well.
  • You make complex things simple. Not by cutting corners, but by finding the actual structure underneath the chaos and building systems that hold at scale.
  • You build, not maintain. You see a manual, inconsistent process and can't help but fix it. And you know the difference between a quick patch and a real solution.
  • You lead people well. You set clear expectations, give real feedback, and know when to delegate and when to dig in yourself.
  • AI is already in your toolkit. You've actually used AI to solve operational problems, and you're curious, not just enthusiastic, about where else it can go.
  • You're strong with data. You make decisions from dashboards, not intuition. You’re the type of person who always starts the morning knowing your numbers.
  • You communicate across the org. You can move things forward without direct authority and translate operational complexity into language that makes sense to Engineering, Finance, and the C-suite.
  • You're comfortable with ambiguity. You make progress without perfect information and improve the picture as you go.
  • Background in consulting or rapid change management
  • Experience in telehealth, multi-state provider networks, or direct payer engagement

✨ Benefits

  • Compensation & Career Growth$115,000 - $120,000 with opportunities for advancementEquityProfessional development & employee learning programs
  • Work Environment & Flexibility3-day hybrid in NYCUnlimited PTO & 11 company holidays
  • Dental
  • Vision benefitsHealth Savings Account (HSA) & Flexible Spending Account (FSA)Long- and short-term disability coverageAnnual employee wellness stipend
  • Family & Future Planning401(k) planParental leave & family planning support benefits
  • Additional PerksCompany-issued laptopAnnual work-from-home stipendCommuter benefits (if applicable)A collaborative, mission-driven culture focused on improving patient care
Full job description

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

The Opportunity

Payer Operations is one of the most complex, highest-leverage functions in healthcare, and one of the most underestimated. Getting a payer contract signed is just the beginning. What actually drives revenue is everything that comes next: credentialing, enrollment, provider data integrity, compliance, and hundreds of moving pieces that determine whether a clinician can see patients and whether a claim gets paid.

As our Senior Manager of Credentialing and Payer Operations, you'll own that complexity and make it manageable for your team, for the payers we work with, and for the business. You don't need to have come up through credentialing. You do need to thrive on finding the structure underneath the chaos and building for scale.

This role sits at the intersection of operations, revenue, and technology. You'll design the playbooks, lead the team that runs them, and partner with Engineering and Product to automate what shouldn't be manual. You'll have a direct line to senior leadership and a seat at the table in conversations that drive national expansion.

Credentialing and Payer Operations touches everything, from network expansion to commercial contracting to revenue cycle. People who do this job well gain skills that could lead to growth in different parts of the org, from payer strategy and partnerships to broader operations leadership. If you want to understand how healthcare actually works and get paid to fix it, this is a strong launchpad for a career with a lot of room.

Location: Hybrid (NYC). We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed.

Your Impact

  1. Make the complex manageable. Take the tangle of payer requirements, enrollment rules, and credentialing standards and turn them into documented, repeatable processes your team can run without you in the room every time.

  2. Lead and develop your team. Manage a mix of U.S.-based and international specialists. Set clear expectations, give direct feedback, develop people, and build a team culture where high standards are the norm, not the exception.

  3. Build infrastructure that scales. Design the workflows, systems, and data architecture for provider data management, licensing, and credentialing. Build for where the company is going, not just where it is.

  4. Use AI to punch above your weight. You'll bring genuine enthusiasm and real experience to using AI tools and automations, and you'll partner with Engineering and Product to scale what would otherwise take five more people.

  5. Own vendor and key payer relationships on the ops side. Manage key vendor relationships, hold them to SLAs, and escalate when they slip. Make sure external dependencies don't become internal bottlenecks.

  6. Be the bridge. Work cross-functionally with Growth, RCM, and Payer Strategy to surface root-cause problems and solve them permanently. Not just this claim, but the next thousand.

  7. Codify everything. When you solve something, you write it down. Your goal is that the team can handle any situation because you built the playbook, not because you happened to be in the room.

Required Qualifications

We care more about how you think and operate than what's on your resume.

  • 5+ years of operational experience in high-growth or high-complexity environments. Consulting, healthcare, or operations backgrounds all translate well.

  • You make complex things simple. Not by cutting corners, but by finding the actual structure underneath the chaos and building systems that hold at scale.

  • You build, not maintain. You see a manual, inconsistent process and can't help but fix it. And you know the difference between a quick patch and a real solution.

  • You lead people well. You set clear expectations, give real feedback, and know when to delegate and when to dig in yourself.

  • AI is already in your toolkit. You've actually used AI to solve operational problems, and you're curious, not just enthusiastic, about where else it can go.

  • You're strong with data. You make decisions from dashboards, not intuition. You’re the type of person who always starts the morning knowing your numbers.

  • You communicate across the org. You can move things forward without direct authority and translate operational complexity into language that makes sense to Engineering, Finance, and the C-suite.

  • You're comfortable with ambiguity. You make progress without perfect information and improve the picture as you go.

Preferred Qualifications

  • Background in consulting or rapid change management

  • Experience in telehealth, multi-state provider networks, or direct payer engagement

  • Hands-on experience with payer portals (Availity, plan-specific portals)

  • Familiarity with commercial payer requirements; Medicare and Medicaid exposure a plus

  • Exposure to credentialing standards (NCQA, CMS)

What Allara Offers

  • Compensation & Career Growth

    • $115,000 - $120,000 with opportunities for advancement

    • Equity

    • Professional development & employee learning programs

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.

  • Work Environment & Flexibility

    • 3-day hybrid in NYC

    • Unlimited PTO & 11 company holidays

  • Health & WellnessFully

    • Medical, dental, and vision benefits

    • Health Savings Account (HSA) & Flexible Spending Account (FSA)

    • Long- and short-term disability coverage

    • Annual employee wellness stipend

  • Family & Future Planning

    • 401(k) plan

    • Parental leave & family planning support benefits

  • Additional Perks

    • Company-issued laptop

    • Annual work-from-home stipend

    • Commuter benefits (if applicable)

    • A collaborative, mission-driven culture focused on improving patient care

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

SIXT

Team Lead Roadside Assistance 24/7 Cockpit (m/f/d)

πŸ•’ yesterday
SIXTπŸ‘₯ 11 - 50 employees🏒 Law Enforcement

Lead and develop a team of 15 to 20 coordinators overseeing live roadside assistance cases, partner performance, escalations, and cross-country operations to deliver prompt customer support.

πŸ“ πŸ‡΅πŸ‡Ή Lisbon - HybridπŸ’Ό Full-TimeπŸŽ™οΈ Leadershipβš’οΈ Operations ManagerπŸ“’ πŸ‡¬πŸ‡§ English RequiredπŸ“’ πŸ‡«πŸ‡· French Required
Team LeadershipCoachingRoadside AssistanceAutomotive Systems
Capricorn

General Manager - Assisted Channels & Operations

πŸ•’ 2 days ago
CapricornπŸ‘₯ 201 - 500 employees🏒 Financial Services

Lead assisted channels and operational services, transforming service delivery through proactive engagement, process redesign and automation while improving Member and Supplier experience, performance and efficiency.

Assisted Channel StrategyContact Centre OperationsService OperationsWorkforce Planning
APM Group

Regional Manager

πŸ•’ 2 days ago
APM GroupπŸ‘₯ 11 - 50 employees🏒 Government Administration

Lead regional operations across occupational rehabilitation branches, developing Area Managers and teams while driving customer outcomes, revenue growth, profitability, and continuous improvement.

Occupational RehabilitationLeadershipCoaching And MentoringFinancial And Commercial Acumen
Capricorn

Head of Distribution Planning & Performance

πŸ•’ 2 days ago
CapricornπŸ‘₯ 201 - 500 employees🏒 Financial Services

Lead the strategy, planning and performance capability connecting Digital, Assisted and Field channels, shaping an integrated distribution system and translating enterprise priorities into coordinated execution.

Distribution StrategyMulti-channel PlanningChannel EconomicsCost-to-serve Analysis
Bjak

Head of Operations

πŸ•’ 2 days ago
BjakπŸ‘₯ 51 - 200 employees🏒 Computer Software

Lead UK operations by turning business objectives into effective day-to-day execution, building systems, improving processes, and developing teams while stepping in to resolve operational and customer escalations.

Operations StrategyBusiness OperationsTeam LeadershipCustomer Support

Trusted by Remote Workers