Sr. Credentialing and Payer Enrollment Manager (Remote)

Who we are

Path is a healthtech company dedicated to making mental health care work for everyone. Path takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Path, it’s easy to find a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients.

What we’re solving

Over 65 million Americans have a treatable mental health issue — that’s 1 in 5 people. Today it’s difficult to find a provider, and for those with complicated conditions, it’s nearly impossible to find coordinated care. We’re here to fix this.

Our Mission

Path's mission is to make mental healthcare work for everyone.

About The Role 

Our core Financial Operations team is small but making great strides to become a leading-class revenue cycle organization. As Path grows into new states and acquires new payer contracts, we will have to navigate new requirements and challenges that require optimization, standardization, and training. 

Path is currently looking for a Sr. Credentialing and Payer Enrollment Manager to own credentialing and payer enrollment. As a manager, you will oversee a team that deals with an increasing number of new providers daily. You will work cross-functionally to complement other areas and make them successful including growth/activation, provider success, as well as across the revenue cycle (billing, collections, denial management, and verification of benefits). This role will be critical in managing payer relations along with our growing payer partnership team.

You Will 

• Lead and develop the existing credentialing team, including external vendors

• Develop and maintain payer enrollment processes for new payers and states, including workflows and tooling

• Own payer enrollment, compliance (directory review, attestations, etc.), audits, and delegation for all existing and new payers

• Understand payer contract requirements 

• Obtain and reconcile monthly provider rosters with provider and claims data (using Excel or SQL)

• Create and own a single source of truth for provider data 

• Collaborate with Go-to-Market Operations to build processes and utilize tools (Salesforce, Verifiable, ZenDesk, etc.) to drive process improvement 

• Support billing with denials and appeals

• Own key metrics driving company growth 

You Are 

• Must-Haves 

  • 8+ years of relevant payer experience

  • Ability to manage credentialing systems, payer rosters, and enrollment information using analytics and data integrity

  • Proficiency in Google Sheets or Excel (required), SQL (nice to have), and Salesforce (preferred)

  • Strong independent and strategic reasoning and business judgment

  • Confidently frame and discuss problems with senior stakeholders at the initiative and goal levels

  • Consistently think through and execute new approaches to solving business problems

  • Experience with full-cycle project management to manage complex projects

  • Excellent verbal and written communication skills to write and train

  • Strong attention to detail and accuracy

• Preferred 

  • Revenue cycle experience for commercial and government payers

  • Knowledge of NPPES, CAQH, HCQA, and delegation requirements

  • Relevant experience with roles at high-growth startups, management consulting, or business operations 

Our Team

The people of Path are what truly define our mission and determine our impact on the world. We believe in building not only a team, but a diverse community that thrives by helping each other succeed and grow and inspiring each other by taking on big challenges.

For employees, Path is a 100% remote healthtech company and we’re HIRING! We're excited to bring people onto the team who are committed to raising the bar on mental health care.

As Part Of Our Team, Full-Time Employees Receive

• The ability to work from any location within the US

• Competitive pay and benefits that do not change based on location

• 2 company-wide shutdown weeks each year to focus on self-care 

• Paid parental leave to support you and your family

• Medical, dental, and vision insurance through our employer plan

• Access to our 401K 

• Access to an Employer Assistance Plan (EAP) through our insurance plan 

• The equipment you need to ensure your home office sets you up for success