Manager, Credentialing and Payor Operations

Sprinter Health; United States; Remote; USD 90,000 - 110,000; Full time

Job summary

An innovative healthcare company is seeking a Manager of Credentialing & Payor Operations to enhance their operational efficiency. This role involves building a new credentialing program, managing payor enrollment, and driving process improvements across teams. The ideal candidate will possess strong operational expertise, a tech-savvy mindset, and a passion for optimizing healthcare access. Join a dynamic environment where your contributions will have a direct impact on patient outcomes and operational success.

Benefits

Medical, dental, and vision plans 100% paid

Flexible PTO + 11 paid holidays

401(k) with match

16-week parental leave

Life insurance

Short and long-term disability coverage

Professional growth opportunities

Annual learning stipend

Qualifications

• 5+ years in healthcare operations, credentialing, and payor enrollment.
• Experience in building credentialing programs preferred.

Responsibilities

• Build and manage a new credentialing program meeting NCQA requirements.
• Lead process improvements and manage credentialing workflows.

Skills

Healthcare Operations

Credentialing

Payor Enrollment

Process Improvement

Project Management

Communication Skills

Tech-Savvy Mindset

Job description

ABOUT US

At Sprinter Health, our mission is to dramatically expand access to healthcare by reimagining the patient experience—delivered at home and powered by technology for scale.

We're building the technology and clinical services platform to make preventive, connected healthcare accessible for everyone in the US. We deliver hybrid care (in-home + virtual) backed by data products across 15+ states, serving 60%+ of the US population through major health plans and systems.

With 1M+ patients and 92+ NPS, we're rapidly scaling our impact. Our team of technologists, clinicians, and operators is backed by investors including a16z, General Catalyst, GV, and Accel that have funded companies like Devoted Health, Livongo, Benchling, Stripe, Ramp, Airbnb, Lyft, Instagram, and Databricks.

We have a rapidly growing team of visionary leaders who are passionate about increasing access to care, lowering healthcare costs, and improving outcomes for patients.

ABOUT THE ROLE

We are looking for a Manager of Credentialing & Payor Operations who will help Sprinter Health scale its operations through excellent credentialing/payor enrollment strategies and operational execution.

You should have experience building a credentialing program that can pass a payor’s delegated credentialing standard and strong operational process expertise. Experience in a tech-enabled healthcare startup is preferred, but not required.

As Manager, Credentialing & Payor Operations, you will manage a licensing, credentialing, and enrollment program leveraging in-house and third-party technology platforms, and ensure seamless provider onboarding & payor enrollment operations.

You will report to our General Counsel and work remotely.

WHAT YOU WILL DO

• Build a net new credentialing program that meets NCQA requirements.
• Own, manage & improve licensing, credentialing and payor enrollment operations and workflows to promote efficiency, compliance, accuracy, timeliness and scalability.
• Lead process improvements across credentialing workflows, ensuring alignment with cross-functional teams (Clinical Ops, RCM, Product, and Compliance teams).
• Collaborate with internal stakeholders to drive operational improvements and tech-enabled solutions to streamline credentialing and overall provider onboarding/experience.
• Serve as a key point of contact for payor enrollment-related issues, providing problem-solving expertise and resolution strategies.
• Build and oversee Sprinter’s Advanced Practice Provider collaboration program, using third-party technology and coordinating with in-house clinical teams as well as external providers.
• Support cross-functional initiatives related to provider onboarding and market expansion.
• Identify automation and tooling opportunities to enhance operational efficiency in credentialing & payor enrollment processes.

WHO YOU ARE

• Minimum 5 years’ experience in healthcare operations, credentialing, and/or payor enrollment
• Experience building a credentialing program that can pass a payor’s delegated credentialing standard is preferred
• Leadership or process ownership experience in credentialing and enrollment.
• Experience in a large hospital, health system, tech-enabled healthcare or digital health company is preferred.
• Strong operational expertise with a track record of optimizing workflows, implementing scalable solutions, and improving efficiency.
• Extensive familiarity with payor enrollment processes, provider credentialing, and compliance regulations.
• Experience managing cross-functional projects and working with internal teams to improve provider operations.
• Tech-savvy mindset, with experience leveraging technology to drive process improvements.
• Strong problem-solving skills and the ability to work in a fast-paced, dynamic environment.
• Excellent communication and organizational skills.

WHAT'S IN IT FOR YOU

• Opportunity to build a critical program from the ground up and have a tangible impact on clinical outcomes
• Dynamic, collaborative environment at the intersection of healthcare and innovation
• Competitive salary + equity package
• Medical, dental, and vision plans 100% paid for you and your dependents
• Flexible PTO + 11 paid holidays per year
• 401(k) with match
• 16-week parental leave policy for birthing parent, 8 weeks for all other parents
• Life insurance, plus short and long-term disability coverage
• Professional growth opportunities
• Annual learning stipend

$90,000 - $110,000 a year

The base salary range for this full-time position is $90,000 - $110,000 + benefits. Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Please note that the compensation details listed reflect the base salary only, and do not include benefits.

If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference in the lives of people, apply today!

Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status or other protected classes.