Senior Manager, Credentialing & Payer Operations (Hybrid)

Health Data Innovations, Inc.; New York (NY); Hybride; USD 115 000 - 120 000; Plein temps

Avantages offerts par ce poste

Equity

Career development

Hybrid work in NYC

Unlimited PTO

Health benefits

HSA / FSA

Parental leave

401(k)

Résumé du poste

Allara is hiring a Senior Manager of Credentialing and Payer Operations in New York City. You will own the end-to-end credentialing and payer operational playbooks, partnering with Engineering and Product to automate processes and scale the function across national expansion.

You will lead a diverse team, manage vendor and payer relationships, and drive data-driven decisions to improve revenue cycle and provider data integrity.

Qualifications

• 5+ years of operational experience in high-growth or high-complexity environments.
• You make complex things simple by finding underlying structure and building scalable systems.
• You build, not maintain — you fix inefficient processes and implement durable solutions.
• You lead people well with clear expectations, feedback, and delegation.
• AI is already in your toolkit and you use it to solve operational problems.
• You’re data-driven, starting the morning with numbers and dashboards.
• You communicate across the org to translate complexity for Engineering, Finance, and the C-suite.
• You’re comfortable with ambiguity and make progress without perfect information.

Responsabilités

• Make the complex manageable by documenting repeatable payer-related processes.
• Lead and develop a mixed US-based and international team.
• Build scalable workflows, systems, and data structures for provider data management and credentialing.
• Use AI and automation to scale across the operation with Engineering and Product.
• Own vendor and payer relationships, ensuring SLAs are met and bottlenecks avoided.
• Collaborate with Growth, RCM, and Payer Strategy to surface root causes and fix them.
• Codify solutions by turning learnings into playbooks for the team.

Connaissances

Operations leadership

Data-driven

AI in operations

Team development

Process design

Cross-functional communication

Ambiguity tolerance

Strategic thinking

Outils

Availity

Description du poste

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.