Senior Manager of Strategic Credentialing and Network Operations
About The Position
Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland—and we’re growing into new markets in 2027. At Blackbird, we take a whole-child approach, looking at how the brain, body, and behavior interact to address the root causes of challenges, not just the symptoms. Every role matters here, and you’ll join a collaborative, supportive, and innovative team that’s shaping the future of pediatric mental health care. If you’re passionate about helping children and families while growing your career, Blackbird is the place to make an impact. Join us and help change mental health care for children for the better!
Requirements
- 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.
- Certified Provider Credentialing Specialist (CPCS) or CPCS-MS preferred.
Nice To Haves
- Deep knowledge of NCQA standards, health plan delegation audits, and MCO/Medicaid regulatory requirements.
- Adept at 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.
Responsibilities
- Own multi-state provider enrollment across commercial and Medicaid/MCO plans, driving down provider ramp time from offer acceptance to billing activation.
- Direct third-party credentialing vendors, establishing clear KPIs, SLAs, and accountability structures to prevent onboarding backlogs.
- Build, maintain, and operationalize health plan delegated credentialing arrangements and lead NCQA/MCO audit preparedness.
- Partner with RCM, Clinical Ops, Legal, and Tech to optimize provider roster management, EHR data integrations, and billing alignment.
Benefits
- Medical, Dental & Vision coverage
- 401(k) with company match
- Employer-paid life insurance
- Generous paid time off
- Diverse, experienced leadership team and supportive culture
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
