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Role: Credentialing and Payor Operations Manager
Location: USA Remote; preferred locations are Bay Area, CA, Austin, TX, Chicago, IL, Boston, MA, NYC, Atlanta, GA, Seattle, WA or Denver, CO.
About the Company
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com.
We are looking for a Credentialing & Payor Operations Manager who can bridge the gap between credentialing/payor enrollment strategy and operational execution. This individual should have strong operational process expertise, experience in tech-enabled healthcare environments, and a working knowledge of credentialing & payor enrollment.
The ideal candidate will optimize processes, drive efficiency, and ensure seamless provider onboarding & payor enrollment operations.
Own & optimize credentialing and payor enrollment operations to ensure efficiency, compliance, and scalability.
Lead process improvements across credentialing workflows, ensuring alignment with cross-functional teams (Provider Ops, RCM, Product, and Solutions teams).
Manage provider onboarding & enrollment workflows, ensuring accurate, timely completion.
Develop, document, and scale best-in-class operational processes to support provider enrollment & credentialing at scale.
Collaborate with internal stakeholders to drive operational improvements and tech-enabled solutions to streamline credentialing and overall provider onboarding/experience.
Serve as a key point of contact for payor enrollment-related issues, providing problem-solving expertise and resolution strategies.
Support cross-functional initiatives related to provider onboarding and network expansion.
Identify automation and tooling opportunities to enhance operational efficiency in credentialing & payor enrollment processes.
5+ years of experience in healthcare operations, credentialing, payor enrollment, or related fields.
Prior leadership experience; ideally leading a team of 3+ people.
Experience in a tech-enabled healthcare or digital health company (startups or high-growth environments preferred).
Strong operational expertise with a track record of optimizing workflows, implementing scalable solutions, and improving efficiency.
Familiarity with payor enrollment processes, provider credentialing, and compliance regulations.
Experience managing cross-functional projects and working with internal teams to improve provider operations.
Tech-savvy mindset, with experience leveraging technology to drive process improvements.
Strong problem-solving skills and the ability to work in a fast-paced, dynamic environment.
Excellent communication and organizational skills.
Salary and Perks
Pay Range: $117,000 - $159,900.
Final offer amounts are determined by multiple factors including, but not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Wheel is unable to consider sponsoring a new qualified applicant for employment authorization for this position. The role will remain open until April 30, 2025. Any eligible candidate that meets the essential criteria of the role may apply via the job posting or through Wheel’s career page up until the designated application deadline.
As an employee of Wheel, you’ll enjoy our Total Rewards Program to help secure your financial future and preserve your health and well-being, including:
Medical, Dental and Vision
Ancillary: Life, Short and Long Term Disability
401K match
Flexible PTO
Parental Leave
Stock options
Additional programs and perks
Wheel is committed to equal employment opportunities for all team members. Every decision we make regarding employment is solely based on merit, competence, and performance. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills.
Research shows that underrepresented groups typically apply only if they meet 100% of the criteria listed. At Wheel, we encourage women, people of color, and LGBTQ+ job seekers to apply for positions even if they don’t check every box for the role.
Our AI-powered salary intelligence estimates this position's salary to be between $80,000 - $100,000. The actual salary may vary based on factors such as experience, location, and market trends.