战略认证与网络运营高级经理
Senior Manager of Strategic Credentialing and Network Operations
关于Blackbird Health
Blackbird Health由临床医生创立、拥有并运营，我们是一群致力于提供优质儿童护理的专业人士。我们认为，为儿童提供最好的护理始于打造最优秀的团队。我们在宾夕法尼亚州、弗吉尼亚州、新泽西州和马里兰州提供虚拟和面对面的心理健康服务，并将在2027年拓展到新的市场。
在Blackbird，我们采用全人方法，关注大脑、身体和行为之间的相互作用，以解决挑战的根本原因，而不仅仅是症状。这里的每个职位都很重要，你将加入一个协作、支持且富有创新精神的团队，共同塑造儿科心理健康护理的未来。如果你热衷于帮助儿童和家庭，同时发展自己的职业生涯，Blackbird就是你实现影响力的场所。
加入我们，一起改善儿童心理健康护理！
职位概述
作为我们的高级战略认证与网络运营经理，你将成为推动我们的临床医生在扩展市场中快速上线、纳入保险计划并开始治疗的核心力量。你将直接向财务副总裁汇报，全面负责我们的认证流程，扩大与商业和医疗补助健康计划的委托认证设置，确保外部供应商合作伙伴严格遵守时间表，并解决多州监管的复杂性。你将处于财务、临床运营、收入周期管理和技术的交汇点，直接影响Blackbird满足日益增长的儿科心理健康护理需求的速度。这是一个完全远程的工作机会。
你将产生的影响
- 全流程认证与支付方注册：负责跨商业和医疗补助/MCO计划的多州提供商注册，缩短从接受录用到开始收费的时间。
- 供应商治理与SLA绩效：指导第三方认证供应商，建立明确的KPI、SLA和责任结构，防止注册积压。
- 委托认证与审计准备：建立、维护并实施健康计划的委托认证安排，并领导NCQA/MCO审计准备工作。
- 跨职能流程优化：与RCM、临床运营、法律和技术部门合作，优化提供商名单管理、EHR数据集成和收费对齐。
适合你的特质
- 委托认证专家：深入了解NCQA标准、健康计划委托审计以及MCO/医疗补助监管要求
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About Blackbird Health
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!
Position Summary
As our Senior Manager of Strategic Credentialing and Network Operations, you’ll be the engine behind getting our clinicians active, paneled, and ready to treat patients across expanding markets. Reporting directly to the SVP of Finance, you will own our credentialing engine end-to-end, scaling our delegated credentialing setup with commercial and Medicaid health plans, holding external vendor partners to tight timelines, and untangling multi-state regulatory complexity. Sitting at the intersection of Finance, Clinical Ops, RCM, and Tech, you’ll directly influence how fast Blackbird scales to meet the growing demand for pediatric mental health care. This is a fully remote opportunity.
How You’ll Make an Impact
- End-to-End Credentialing & Payer Enrollment: Own multi-state provider enrollment across commercial and Medicaid/MCO plans, driving down provider ramp time from offer acceptance to billing activation.
- Vendor Governance & SLA Performance: Direct third-party credentialing vendors, establishing clear KPIs, SLAs, and accountability structures to prevent onboarding backlogs.
- Delegated Credentialing & Audit Readiness: Build, maintain, and operationalize health plan delegated credentialing arrangements and lead NCQA/MCO audit preparedness.
- Cross-Functional Process Optimization: Partner with RCM, Clinical Ops, Legal, and Tech to optimize provider roster management, EHR data integrations, and billing alignment.
What Makes You, You
- Delegated Credentialing Subject Matter Expert: Deep knowledge of NCQA standards, health plan delegation audits, and MCO/Medicaid regulatory requirements.
- Data-Driven & Systems Mindset: Adept at analyzing operational bottlenecks, tracking provider-to-payer ramp metrics, and automating workflows.
- Cross-Functional Partner: Proven success building collaborative relationships with health plan network directors, internal executive stakeholders, and external vendors.
The Basics You’ll Need
- Experience: 8+ years of healthcare credentialing and provider enrollment experience (multi-state behavioral/mental health preferred).
- Delegated Credentialing: Proven track record managing delegated credentialing processes and health plan audit requirements.
- Vendor & Regulatory Mastery: Hands-on experience managing third-party vendors against SLAs; strong command of NCQA standards and Medicaid/MCO rules.
- Certifications: Certified Provider Credentialing Specialist (CPCS) or CPCS-MS preferred.
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
Salary Range
$105,000—$115,000 USD
Join us!
To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child’s brain, body, and behavior work together.
“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”
Fostering an inclusive environment:
Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at recruiting@blackbirdhealth.com so we can support you.
Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.