Credentialing Manager
Alma(1 month ago)
About this role
The Credentialing Manager will lead Alma’s healthcare credentialing and compliance efforts, ensuring audit readiness and adherence to regulatory and contractual requirements for delegated credentialing. This role owns the Compliance Scorecard, manages payer audit cycles, and drives initiatives to improve RCM efficiency and reduce claim denials. The manager partners cross-functionally with Legal, Compliance, and RCM teams, oversees CVO and internal partners, and contributes as a hands-on operator when necessary.
Required Skills
- Credentialing
- NCQA
- Audit Management
- Compliance
- Revenue Cycle
- Process Improvement
- Policy Monitoring
- Partner Oversight
- Project Management
- Leadership
+1 more
Qualifications
- CPCS
- CHPC
About Alma
helloalma.comAlma is a mental health care platform that simplifies access to high-quality, affordable therapy. It helps people find and book vetted, licensed therapists with transparent pricing and streamlined insurance and billing support, offering telehealth and in-person options. Alma also works with employers and health plans to expand access and reduce administrative friction for providers. Users choose Alma for its curated clinician network, easy matching, and simplified booking and payment experience.
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