Senior Manager, Strategic Credentialing and Network Operations

Blackbird Health

. Own multi-state provider enrollment across commercial and Medicaid/MCO plans, reducing provider ramp time from offer acceptance to billing activation .

Posted 9/24/2026full-timeRemote • United StatesSenior💰 $105,000 - $115,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in healthcare credentialing and provider enrollment, with a strong focus on managing delegated credentialing processes and ensuring compliance with NCQA standards and Medicaid/MCO regulations. Proven ability to optimize operational workflows and build collaborative relationships across various stakeholders.

Highest-signal resume keywords

Healthcare CredentialingProvider EnrollmentNCQA StandardsDelegated Credentialing ProcessesCertified Provider Credentialing Specialist (CPCS)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider Ramp Metrics AnalysisOperational Bottleneck AnalysisWorkflow AutomationThird-Party Vendor ManagementHealth Plan Audit Requirements

Soft Skills

Collaborative Relationship BuildingStakeholder Engagement

Tools & Technologies

EHR Data Integrations

Certifications & Qualifications

Certified Provider Credentialing Specialist (CPCS)CPCS-MS

Industry Keywords

MedicaidMCOBehavioral HealthMental HealthCredentialing Engine Ownership

About the role

Key responsibilities & impact

Own multi-state provider enrollment across commercial and Medicaid/MCO plans, reducing provider ramp time from offer acceptance to billing activation
Direct third-party credentialing vendors, establishing KPIs, SLAs, and accountability structures to prevent onboarding backlogs
Build, maintain, and operationalize health plan delegated credentialing arrangements
Lead NCQA/MCO audit preparedness
Partner with RCM, Clinical Ops, Legal, and Tech to optimize provider roster management, EHR data integrations, and billing alignment
Report directly to the SVP of Finance
Serve as the credentialing engine owner across Finance, Clinical Ops, RCM, and Tech

Requirements

What you’ll need

8+ years of healthcare credentialing and provider enrollment experience (multi-state behavioral/mental health preferred)
Proven track record managing delegated credentialing processes and health plan audit requirements
Hands-on experience managing third-party vendors against SLAs
Strong command of NCQA standards and Medicaid/MCO rules
Deep knowledge of health plan delegation audits and MCO/Medicaid regulatory requirements
Experience analyzing operational bottlenecks, tracking provider-to-payer ramp metrics, and automating workflows
Proven success building collaborative relationships with health plan network directors, internal executive stakeholders, and external vendors
Certified Provider Credentialing Specialist (CPCS) or CPCS-MS preferred

Benefits

Comp & perks

Medical, Dental & Vision coverage
401(k) with company match
Employer-paid life insurance
Generous paid time off
Diverse, experienced leadership team and supportive culture