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Senior Manager of Strategic Credentialing and Network Operations; Fully Remote
Remote / Online - Candidates ideally in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-10-02
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listing for:
Blackbird Health
Remote/Work from Home
position Listed on 2026-10-02
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
- Report directly to the SVP of Finance and own the credentialing engine end-to-end.
- Scale delegated credentialing with commercial and Medicaid health plans.
- This is a fully remote opportunity.
How You’ll Make an Impact:
- Own multi-state provider enrollment across commercial and Medicaid/MCO plans to drive down ramp time.
- Direct third-party credentialing vendors with clear KPIs and SLAs.
- Build and operationalize health plan delegated credentialing arrangements for audit readiness.
What Makes You, You:
- Deep knowledge of NCQA standards, health plan delegation audits, and MCO/Medicaid requirements.
- Adept at analyzing operational bottlenecks and automating workflows.
- Proven success building collaborative relationships with health plan directors and internal stakeholders.
The Basics 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 audits.
- CPCS or CPCS-MS certification preferred.
Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027.
Position Requirements
10+ Years
work experience
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