Lavender

Manager

• Lead the Credentialing Team
• Provide day-to-day leadership and coaching to the credentialing team, supporting workload prioritization, development, and performance
• Monitor individual and team output to ensure credentialing tasks are completed accurately and on schedule
• Create clarity on priorities, foster shared accountability, and help your team take pride in delivering high-quality work
• Credentialing Operations
• Oversee the end-to-end credentialing and re-credentialing process for all PMHNPs, ensuring compliance with all state, payer, and accreditation requirements
• Ensure credentialing operations are efficient, timely, and scalable to support Lavender’s national expansion
• Partner with Billing to align credentialing with payer enrollment and avoid delays in reimbursement
• Collaborate with Recruiting and Onboarding teams to ensure clinicians are credentialed in advance of seeing clients
• Work with Marketing to communicate new payer partnerships internally and externally
• Review and maintain payer contracts and reimbursement rates, negotiating favorable terms where appropriate
• Credentialing Strategy & Growth
• Continuously assess credentialing systems and workflows to improve quality, efficiency, and compliance
• Evaluate new payer networks and credentialing opportunities to expand access to care
• Build and leverage strong payer relationships to improve reimbursement rates and streamline enrollment
• Support strategic growth initiatives by ensuring credentialing is prepared to support expansion into new states or services
• What Success Looks Like
• Credentialing files are accurate, compliant, and submitted on schedule
• New NPs are fully credentialed and able to see clients on time
• Payer enrollments are completed efficiently, minimizing revenue delays
• New payer relationships are established with favorable reimbursement rates
• Stakeholders across Billing, Recruiting, and Leadership feel supported and informed
• Geographic expansions are anticipated and executed smoothly from a credentialing perspective

Credentialing Manager