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Payor Enrollment Manager

growtherapy · 30+ days ago
Remote
$107-135k
Full-time
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About us: 

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

We’re looking for a Provider Enrollment Manager who is passionate about improving the landscape for mental healthcare.  In this role, you’ll own the provider enrollment processes for all of our contracted payors, so you’ll play a key role in getting our providers in-network with some of the country’s largest health plans.

In this role you'll:

  • Effectively manage a team of Enrollment Specialists and contractors responsible for the day-to-day provider enrollment operations
    • Hire and train additional Specialists and/or contractors as necessary
    • Assist in build of clear hiring and performance metrics
  • Oversee regular reviews to validate the accuracy of our internal credentialing data against the payor’s data to ensure our credentialing data serves as a source of truth across the organization
  • Work with the Revenue Cycle Management team on any patterns of claim denials that may be related to Credentialing
  • Serve as an escalation point for the Enrollment Specialists as payor-related issues arise
  • Work with the Enrollment Specialists to build out new protocols as we expand to work with new payors
  • Generate weekly and monthly metrics to assess overall payor health and identify areas of focus
  • Partner with various department leads to build new and streamline existing workflows as necessary

Salary: $107,000 - $135,000 USD

You’ll Be a Good Fit If: 

  • You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:
    • Certified Provider Credentialing Specialist (CPCS) with at least four years of experience in Provider Credentialing OR at least six years of experience in Provider Credentialing
    • Strong familiarity with credentialing processes, terminology and primary source verification resources; these include: CAQH, NPDB, PECOS, State Licensing, Accreditation and Certification agencies
  • You know your way around managing a team. You’re well-versed in hiring, training new employees and performance management.
  • You’re great at identifying areas for improvement then revamping operations appropriately to achieve the goal.
  • You have excellent communication skills.  You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.
  • You know how to hold people accountable. You drive clarity on what’s needed to get something done, and you ensure deadlines are met.
  • You’re tech savvy. You’ve efficiently learned new software in the past, and you’re willing to learn HubSpot, Verifiable, Slack, and Excel if you don’t know how to use them already.
  • You’re comfortable with a face-paced, high growth environment.

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.

Benefits

  • The chance to drive impact within the mental healthcare landscape from day one
  • Comprehensive health insurance plans, including dental and vision
  • Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
    • Flexible working hours and location (remote OR in-office, your choice!)
    • Generous PTO 
    • Company-wide winter break 
    • Mental health mornings (2 hours each week)
    • Team meditation
    • Wellness Stipend
    • In-office lunch and biweekly remote lunch on us! 
  • Continuous learning opportunities 
  • Competitive salary 
  • The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities 

#LI-REMOTE

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. 

Last updated on Aug 23, 2024

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