Location: Salt Lake City, UT preferred (Open to remote for the right candidate)
About The RoleWe're looking for a
Credentialing Manager to own and manage end-to-end provider credentialing and payer enrollment across our growing multi-state platform. This is a hands-on, detail-driven role for someone who thrives in fast-paced healthcare environments and takes pride in building clean, compliant, and efficient credentialing processes. You'll partner closely with Clinical Operations, People, Finance, and external payers to ensure providers are credentialed accurately and on time-minimizing revenue delays and supporting a strong provider onboarding experience.
Key Responsibilities
Provider Credentialing & Enrollment- Own full-cycle provider credentialing and payer enrollment across all states and entities
- Manage provider onboarding requirements including CAQH, PECOS, NPI, DEA, state licenses, payer contracts, and re-credentialing
- Track credentialing timelines, expirables, and renewals to ensure ongoing compliance
- Proactively identify and resolve credentialing issues that could delay billing or revenue
- Serve as the primary point of contact for providers, payers, and internal stakeholders
- Maintain accurate documentation and audit-ready credentialing files
Process & Operations- Build and maintain standardized credentialing workflows, checklists, and SLAs
- Partner with internal teams and external vendors to improve turnaround times
- Track and report on credentialing KPIs (time to credential, enrollment status, revenue impact)
- Support onboarding of new practices and providers during growth and M&A activity
- Identify opportunities for process improvements and increased efficiency
Collaboration & Support- Work closely with Revenue Cycle and Finance to minimize credentialing-related revenue delays
- Support providers with credentialing questions and guidance throughout onboarding
- Ensure compliance with payer requirements and healthcare regulations
- Contribute to documentation, dashboards, and reporting to support scaleWhat We're Looking For
- 4-7+ years of experience in healthcare provider credentialing and payer enrollment
- Strong knowledge of multi-state credentialing requirements and payer processes
- Experience working with CAQH, PECOS, NPPES, state licensing boards, and payers
- Highly organized, detail-oriented, and deadline-driven
- Comfortable managing multiple providers, payers, and timelines simultaneously
- Strong communication skills and a service-oriented mindset
- Experience in a high-growth, multi-entity, or PE-backed healthcare environment is a plus
Why Allevio- Opportunity to own and improve a critical function in a scaling healthcare platform
- Meaningful impact on provider experience and revenue performance
- Collaborative, supportive team environment
- Competitive compensation and growth opportunities
- A culture that values accountability, clarity, and continuous improvement
Benefits & Perks• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (PTO) and company holidays
