Affect
Credentialing and Payer Enrollment Manager
Join to apply for the
Credentialing and Payer Enrollment Manager
role at
Affect .
At Affect, we are a mission‑driven organization where your work directly and immediately impacts the well‑being of others. Every day, you play a critical role in our ability to deliver high‑quality medical and behavioral services through our digital recovery program—helping people rebuild their lives, strengthen their families, and create lasting change in their communities. We are expanding our Credentialing and Revenue Operations group and seeking an experienced
Credentialing & Payor Enrollment Manager
to lead, scale, and continuously improve our national credentialing and payer enrollment function. This individual will design resilient systems, manage day‑to‑day operations, guide team members and vendors, and ensure a seamless, compliant process that directly supports access to care and revenue integrity. This is a high‑impact role in a fast‑paced, rapidly evolving environment. You'll thrive here if you enjoy building systems, solving complex operational puzzles, and working cross‑functionally to keep a growing clinical organization running smoothly.
Key Responsibilities
Credentialing Process Design & Optimization
Own and continuously improve the end‑to‑end credentialing and enrollment lifecycle for all providers across our operations
Build scalable processes and documentation that support rapid company growth, new state/programmatic expansions, and evolving payer requirements
Implement a systems‑thinking approach to credentialing, ensuring workflows integrate cleanly with RCM, compliance, recruitment, finance, and clinical operations
Evaluate and deploy new tools, data workflows, and automation opportunities to increase speed, accuracy, and visibility across credentialing processes
Monitor KPIs, cycle times, and bottlenecks; develop and execute improvement plans
Payer Enrollment & Credentialing Operations
Oversee all payer enrollment activities (Medicaid, Employer, Marketplace, and Medicare plans), ensuring timely and accurate submission, follow‑through, and completion
Maintain continuous compliance with payer, state, and federal standards—including revalidations, expirables, and recredentialing cycles
Serve as the internal expert on credentialing requirements, payer nuances, and market‑specific rules
Maintain meticulous provider records, audit‑ready documentation, and updated data across credentialing platforms and internal systems
People Leadership & Vendor Management
Lead a growing credentialing and payer enrollment team, ensuring accountability, quality, and operational discipline across 20+ states and growing
Manage external credentialing vendors, including performance oversight, SLAs, and integration with internal workflows
Troubleshoot issues, set priorities, and guide the team through high‑volume or fast‑changing periods
Stakeholder Management, Reporting, and Accountability
Develop strategic relationships with payer representatives to accelerate enrollment cycles and resolve issues
Serve as Affect's main representative to payers regarding credentialing questions, escalations, and operational nuances
Deliver clear, proactive communication to internal stakeholders about provider status, risks, and projected go‑live timelines
Produce regular executive‑level reporting on credentialing timelines, enrollment progress, risk areas, and performance metrics
Maintain dashboards or tracking systems that give leadership real‑time visibility into enrollment status and throughput
Cross‑Functional Collaboration
Partner closely with RCM, Finance, and Operations to troubleshoot enrollment/credentialing barriers impacting claims or reimbursement; work hand‑in‑hand with Clinical & People Operations to ensure provider onboarding timelines remain aligned with credentialing realities
Qualifications
5+ years of experience in healthcare credentialing or payer enrollment, ideally in a multi‑state environment
Proven success designing or managing scalable, systematized credentialing workflows
Experience with credentialing software and data systems; ability to learn and implement new tools; familiarity with Verifiable is a plus
Deep understanding of Medicaid and commercial payer credentialing requirements
Strong organizational ability, operational rigor, and comfort managing many moving pieces simultaneously
Exceptional communication and relationship‑building skills—with both internal teams and stakeholders
Ability to thrive in a fast‑paced, rapidly changing environment, maintaining accuracy and composure under pressure
Behavioral health familiarity is a plus, but not required
We are unable to sponsor H-1 B visas at this time. Please do not apply if you are not in a US time zone. Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Education and Training
Industry Hospitals and Health Care
#J-18808-Ljbffr
Credentialing and Payer Enrollment Manager
role at
Affect .
At Affect, we are a mission‑driven organization where your work directly and immediately impacts the well‑being of others. Every day, you play a critical role in our ability to deliver high‑quality medical and behavioral services through our digital recovery program—helping people rebuild their lives, strengthen their families, and create lasting change in their communities. We are expanding our Credentialing and Revenue Operations group and seeking an experienced
Credentialing & Payor Enrollment Manager
to lead, scale, and continuously improve our national credentialing and payer enrollment function. This individual will design resilient systems, manage day‑to‑day operations, guide team members and vendors, and ensure a seamless, compliant process that directly supports access to care and revenue integrity. This is a high‑impact role in a fast‑paced, rapidly evolving environment. You'll thrive here if you enjoy building systems, solving complex operational puzzles, and working cross‑functionally to keep a growing clinical organization running smoothly.
Key Responsibilities
Credentialing Process Design & Optimization
Own and continuously improve the end‑to‑end credentialing and enrollment lifecycle for all providers across our operations
Build scalable processes and documentation that support rapid company growth, new state/programmatic expansions, and evolving payer requirements
Implement a systems‑thinking approach to credentialing, ensuring workflows integrate cleanly with RCM, compliance, recruitment, finance, and clinical operations
Evaluate and deploy new tools, data workflows, and automation opportunities to increase speed, accuracy, and visibility across credentialing processes
Monitor KPIs, cycle times, and bottlenecks; develop and execute improvement plans
Payer Enrollment & Credentialing Operations
Oversee all payer enrollment activities (Medicaid, Employer, Marketplace, and Medicare plans), ensuring timely and accurate submission, follow‑through, and completion
Maintain continuous compliance with payer, state, and federal standards—including revalidations, expirables, and recredentialing cycles
Serve as the internal expert on credentialing requirements, payer nuances, and market‑specific rules
Maintain meticulous provider records, audit‑ready documentation, and updated data across credentialing platforms and internal systems
People Leadership & Vendor Management
Lead a growing credentialing and payer enrollment team, ensuring accountability, quality, and operational discipline across 20+ states and growing
Manage external credentialing vendors, including performance oversight, SLAs, and integration with internal workflows
Troubleshoot issues, set priorities, and guide the team through high‑volume or fast‑changing periods
Stakeholder Management, Reporting, and Accountability
Develop strategic relationships with payer representatives to accelerate enrollment cycles and resolve issues
Serve as Affect's main representative to payers regarding credentialing questions, escalations, and operational nuances
Deliver clear, proactive communication to internal stakeholders about provider status, risks, and projected go‑live timelines
Produce regular executive‑level reporting on credentialing timelines, enrollment progress, risk areas, and performance metrics
Maintain dashboards or tracking systems that give leadership real‑time visibility into enrollment status and throughput
Cross‑Functional Collaboration
Partner closely with RCM, Finance, and Operations to troubleshoot enrollment/credentialing barriers impacting claims or reimbursement; work hand‑in‑hand with Clinical & People Operations to ensure provider onboarding timelines remain aligned with credentialing realities
Qualifications
5+ years of experience in healthcare credentialing or payer enrollment, ideally in a multi‑state environment
Proven success designing or managing scalable, systematized credentialing workflows
Experience with credentialing software and data systems; ability to learn and implement new tools; familiarity with Verifiable is a plus
Deep understanding of Medicaid and commercial payer credentialing requirements
Strong organizational ability, operational rigor, and comfort managing many moving pieces simultaneously
Exceptional communication and relationship‑building skills—with both internal teams and stakeholders
Ability to thrive in a fast‑paced, rapidly changing environment, maintaining accuracy and composure under pressure
Behavioral health familiarity is a plus, but not required
We are unable to sponsor H-1 B visas at this time. Please do not apply if you are not in a US time zone. Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Education and Training
Industry Hospitals and Health Care
#J-18808-Ljbffr