Senior Manager of Strategic Credentialing and Network Operations

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Senior Manager of Strategic Credentialing and Network Operations
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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.

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Do you have hands-on experience managing or implementing delegated credentialing arrangements and health plan NCQA delegation audits for multi-state provider groups? * Select...

Do you have at least 5 years of experience managing credentialing and payer enrollment across both commercial plans and state Medicaid/MCO plans in multiple states?
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What credentialing software/EHR platforms have you configured or integrated to streamline provider roster management and revenue cycle alignment? *

Describe your experience managing third-party credentialing vendors. What specific KPIs/SLAs did you track, and how did you handle performance failures or delays? *

Can you share an example of how you successfully reduced provider credentialing/enrollment ramp times in a high-growth environment? *

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