Sprinter Health is dedicated to expanding access to healthcare by reimagining the patient experience. Their mission is to deliver healthcare services at home, powered by technology for a scalable impact. With a focus on hybrid care that combines in-home and virtual services, Sprinter Health aims to make preventive healthcare accessible for all Americans. The company operates across 15+ states, serving over 60% of the US population through major health plans and systems, and has successfully catered to 1 million+ patients with an impressive NPS score of 92. They boast a team of skilled professionals, including technologists, clinicians, and operators, backed by notable investors such as a16z, General Catalyst, GV, and Accel, all renowned for their investments in transformative tech companies.
Job Role
The position available is Manager of Credentialing and Payor Operations. This role is critical as it facilitates the scaling of Sprinter Health's operations through well-crafted credentialing and payor enrollment strategies. The selected candidate will directly report to the General Counsel of the company and will have the flexibility to work remotely.
Responsibilities
The responsibilities of the Manager, Credentialing & Payor Operations include:
Building a new credentialing program that complies with NCQA requirements, ensuring that Sprinter Health meets industry standards.
Owning and managing licensing, credentialing, and payor enrollment operations to enhance efficiency, compliance, timeliness, and scalability.
Leading process improvements across credentialing workflows, collaborating with cross-functional teams such as Clinical Operations, Revenue Cycle Management (RCM), Product, and Compliance.
Serving as the key contact for payor enrollment-related issues, providing solutions and strategies for resolution.
Overseeing the Advanced Practice Provider collaboration program, utilizing in-house and third-party technology resources to coordinate efforts.
Supporting cross-functional initiatives that relate to provider onboarding and market expansion, always maintaining a customer-focused approach.
Identifying automation and tooling opportunities to bolster operational efficiency within credentialing and payor enrollment processes.
Required Skills
Candidates interested in applying for the Manager position should possess the following qualifications:
A minimum of 5 years’ experience in healthcare operations, credentialing, or payor enrollment.
Demonstrated expertise in building credentialing programs that adhere to payor's delegated credentialing standards, which is highly preferred.
Proven leadership experience or ownership of processes in credentialing or enrollment.
Background in large hospitals, health systems, tech-enabled healthcare companies, or digital health organizations is a plus.
Strong operational expertise characterized by a history of optimizing workflows and implementing scalable solutions.
Comprehensive familiarity with payor enrollment processes, credentialing, and compliance regulations.
Experience in managing cross-functional projects and collaborating across departments.
A tech-savvy mindset along with relevant experience in leveraging technology for process improvements.
Exceptional problem-solving abilities and adaptability in a fast-paced environment.
Excellent communication and organizational skills to ensure effective collaboration and project management.
Employee Benefits
Sprinter Health not only emphasizes professional growth and development but also offers numerous benefits to make the workplace conducive for its employees:
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The opportunity to create and manage a critical organizational program, significantly impacting clinical outcomes.
A dynamic and collaborative working environment that bridges healthcare and innovation.
Offering competitive salary along with an equity package.
Comprehensive medical, dental, and vision plans fully covered for employees and their dependents.
Flexible Paid Time Off (PTO) system alongside 11 paid holidays per year.
Retirement savings plan with a 401(k) match.
Generous parental leave policies - 16-week leave for birthing parents, and 8 weeks for all other parents.
Life insurance, along with short-term and long-term disability coverage.
Professional growth opportunities alongside an annual learning stipend.
Equal Opportunity Employer
Sprinter Health is committed to fostering a diverse workplace and is proud to be an equal opportunity employer. They do not discriminate based on race, religion, gender, sexual orientation, or any other protected class, promoting inclusivity throughout their business practices.
This job offer was originally published on himalayas.app
This job offer summary has been generated using automated technology. While we strive for accuracy, it may not always fully capture the nuances and details of the original job posting. We recommend reviewing the complete job listing before making any decisions or applications.
