Senior Manager, Contracting & Credentialing
Dreem Health | Sunrise
full-time
Posted on:
Location Type: Remote
Location: California • New York • United States
Visit company websiteExplore more
Salary
💰 $80,000 - $90,000 per year
Job Level
About the role
- Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs across multiple states
- Oversee CAQH, PECOS, Medicare, and commercial payer enrollment
- Ensure compliance with state licensure, scope of practice, and supervision requirements
- Maintain credentialing records, expiration tracking, and audit-ready documentation
- Manage credentialing/licensing timelines to support rapid provider onboarding
- Lead payer contracting strategy across commercial, Medicare Advantage, and government payers
- Negotiate and evaluate fee schedules, reimbursement rates, and contract terms
- Oversee Medicare enrollment and compliance
- Collaborate with Compliance to mitigate credentialing and contracting risk
- Manage relationships with credentialing and contracting vendors
- Provide reporting and dashboards on credentialing status, payer growth, and risk areas
Requirements
- CPC Certification (required)
- 7+ years of experience in provider credentialing, payer contracting, or provider enrollment
- Proven experience with multi-state credentialing and telehealth operations
- Strong knowledge of Medicare/PECOS, commercial payers, and government programs
- Experience managing third-party credentialing and contracting vendors
- Familiarity with sleep medicine, DME, or specialty care preferred
- Strong understanding of provider reimbursement and fee schedules
- Exceptional organizational, communication, and stakeholder-management skills
Benefits
- Comprehensive health benefits (medical, dental, vision)
- FREE One Medical membership
- 401(k) with company match
- 20 days PTO + 10 paid holidays + 80 hours paid sick leave
- Monthly phone and internet stipend
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider credentialingprovider licensingrecredentialingpayer contractingfee schedulesreimbursement ratesMedicare enrollmentcompliancetelehealth operationsthird-party vendor management
Soft Skills
organizational skillscommunication skillsstakeholder managementnegotiation skillscollaborationrisk management
Certifications
CPC Certification