Manager of Credentialing

https://www.hazel.co/

Hazel Health, the national leader in school-based telehealth, was founded in 2015 to address systemic inequities in healthcare access, and ensure all children can get the quality care they need and deserve. We leverage digital health technology to provide on-demand physical and mental health care services to over 2 million students in school districts across the country.

Physical and mental telehealth has become more relevant in the lives of children than ever before. Hazel is experiencing tremendous company growth as we respond to our nation’s call for equitable, affordable, and safe virtual access to healthcare.

We are a mission-driven team of healthcare and business leaders, educators, and tech innovators, bringing together our unique skills in a meaningful way to do good in the world. Please consider joining us to share your gifts and talents with a growing and diverse organization, working to make healthcare available to all students.

The Role: Manager of Credentialing 

Location: Remote with travel 3-4 times per year
About This Role:

We are searching for a Manager of Credentialing who is passionate about the industry and can bring new initiatives to the team. With our continued growth, we are seeking a Manager of Credentialing that can implement new processes as we scale. The Manager of Credentialing is responsible for managing the timely and accurate submission and processing of Hazel’s practice and provider enrollments with state Medicaid programs, Managed Medicaid, Commercial and Government payors. The Manager will ensure overall credentialing performance including strategic planning, analysis, and continuous quality and productivity improvements of the team. The Manager of Credentialing will be accountable for key credentialing and revenue cycle metrics as well as fostering a team atmosphere between both internal and external stakeholders. This position reports to the Vice President of Finance and Revenue Operations.

What You’ll Do:

• Manage the day-to-day practice and payor enrollment/credentialing operational processes and team to ensure the timely and accurate submission of enrollment and credentialing documentation including initiation and review of application, primary source verification, ongoing monitoring of credentials and processing provider enrollments, re-enrollments, and demographic updates with contracted payers
• Assist in the development and execution of policies and procedures supporting a delegated credentialing process
• Set team direction, develop proactive goals, and measure team performance against operational targets
• Oversee the tracking and maintenance of all provider data in provider data management system, ensuring high quality standards are maintained
• Conduct analyses and audits and use data to identify and address credentialing process and velocity improvements
• Serves as the subject matter expert on practice and provider enrollment, with particular expertise in state Medicaid and Managed Medicaid processes
• Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers
• Partner with clinical leadership and human resources to implement and manage a timely and smooth provider onboarding process
• Collaborate closely with peers in Contracting and Billing to ensure efficient and accurate revenue cycle processes

Your Background:

We are looking for diverse individuals who want to support our mission and values. Please consider applying even if you don't fully meet 100% of these criteria. 

• Bachelor’s Degree in Healthcare Administration or related field preferred
  
• At least 7-10 years working in practice and provider enrollments
• 3 - 5 years of experience successfully leading and managing a high-performance credentialing operation while meeting or exceeding industry benchmarks
• 3+ years of experience working with state Medicaid and Managed Medicaid organizations nationwide, telehealth experience is a plus. Preferred states of experience: CA, FL, TX, NV, WA
• Strong, in-depth knowledge of revenue cycle management principles and practices, including medical billing, coding, collections, managed care products, regulatory compliance, payer credentialing, and financial reporting
• Solid quantitative and process analysis skills, including forecasting, trending, benchmarking, and operational analysis of the department performance
• Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA)
• Experience with credentialing systems/software, such as Modio, Cactus, etc. Experience with Salesforce HealthCloud strongly preferred

Hazel’s Core Values:

• Exceptional Partnership: We seek to understand, align, and then work to exceed the highest expectations of those we serve.

• Always Accountable: We set high standards for ourselves and each other and deliver. We do what we say we are going to do.

• Make it Happen: Every teammate has the power and responsibility to make our company better. We are collectively imagining and building the product and company of our dreams.

• One Team: Our success is driven by building relationships and collaborating across teams, geographies and functions. Bringing in diverse perspectives and understanding everyone’s personal story drives to transformative solutions.

• Never Stop Innovating: We are bold. Our goal is to make transformational change. Sometimes we will fail, and we use it to learn and drive forward.

• Drive Impact: Everything comes down to the impact Hazel makes on people - our families and students, our teammates, our partners, our neighbors, ourselves.

This is an exciting position in a fast-paced organization. We offer:

• A positive, supportive, and passionate team
• Flexible work hours in our Irving, Texas office
• Generous, high-quality medical, dental and vision coverage on day one of employment
• 401K with a 100% employer match for contributions up to 4% of salary
• 15 days PTO and 11 paid holidays annually
• Flexible Spending Account (FSA)
• Employer-paid short-term and long-term disability and employer-sponsored life insurance

Our Stance On Diversity:

At Hazel, we don’t just accept differences—we thrive on them. We recognize that having diverse perspectives and backgrounds among our teammates makes our company, our solutions, and our service to families and schools stronger. We are committed to making Hazel an inclusive work environment and helping all staff grow professionally.

Hazel is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, national origin, sex, gender identity, sexual orientation, age, marital status, disability status, or Veteran status. 

All offers of employment are conditioned on a candidate’s consent to a background check and our satisfaction with the results. Qualified candidates with arrest and conviction records will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.