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Salary: USD 105,000 - 115,000 / annual
Blackbird Health is a clinician-founded, clinician-owned virtual and in-person pediatric mental health services provider operating across Pennsylvania, Virginia, New Jersey, and Maryland, with expansion planned for 2027. The company takes a whole-child approach, addressing how the brain, body, and behavior interact to treat root causes rather than symptoms.
As Senior Manager of Strategic Credentialing and Network Operations, you will own the end-to-end credentialing engine, reporting directly to the SVP of Finance. You will scale delegated credentialing arrangements with commercial and Medicaid health plans, manage external vendor partners to tight timelines, and navigate multi-state regulatory complexity. Sitting at the intersection of Finance, Clinical Ops, Revenue Cycle Management, and Technology, you will directly influence Blackbird's scaling speed to meet growing demand for pediatric mental health care.
Key responsibilities include:
- Owning multi-state provider enrollment across commercial and Medicaid/MCO plans, reducing provider ramp time from offer acceptance to billing activation
- Directing third-party credentialing vendors, establishing clear KPIs, SLAs, and accountability structures to prevent onboarding backlogs
- Building, maintaining, and operationalizing health plan delegated credentialing arrangements and leading NCQA/MCO audit preparedness
- Partnering with RCM, Clinical Ops, Legal, and Tech teams to optimize provider roster management, EHR data integrations, and billing alignment
You will be a delegated credentialing subject matter expert with deep knowledge of NCQA standards, health plan delegation audits, and MCO/Medicaid regulatory requirements. You will bring a data-driven, systems-oriented mindset, adept at analyzing operational bottlenecks, tracking provider-to-payer ramp metrics, and automating workflows. You will excel at building collaborative relationships with health plan network directors, internal executive stakeholders, and external vendors.
REQUIREMENTS:
- 8+ years of healthcare credentialing and provider enrollment experience (multi-state behavioral/mental health preferred)
- Proven track record managing delegated credentialing processes and health plan audit requirements
- Hands-on experience managing third-party vendors against SLAs; strong command of NCQA standards and Medicaid/MCO rules
- Certified Provider Credentialing Specialist (CPCS) or CPCS-MS preferred
