Job Description

The Credentialing Manager will be responsible for delivering an excellent account management of the payer process for our franchise network, within the credentialing and contracting function. Will facilitate kick off calls for the upcoming new facilities and be the resident expert in credentialing and contracting for assigned geography. This position is responsible reviewing systems and regular reporting to ensure that provider and group records are accurate and have regular status updates. The Credentialing Manager will support franchises with regular conference calls and email updates regarding escalated issues and concerns.

An ideal candidate for this role would have a passion for our mission and personal values that match ours. Ellie Mental Health has a goal to make getting mental health care the norm by crushing the stigmas surrounding seeking mental health care. Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community.

Our core values emphasize impactful connections that allow us to fill the gaps in our communities and make a real difference. These values are creativity, authenticity, humor, compassion, acceptance, and determination.

This is a fully remote position with the opportunity to work out of AZ, CO, FL, GA, IL, IN, KS, MI, MN, NC, ND, NV, OH, OR, TX, VA, WA, or WI.

Essential Duties

• Ensure best-in-class service standards for franchise owners, clinical directors, and internal teams for the credentialing and contracting function
• Provide daily direction and prioritization of applications to Credentialing Specialists
• Coordinate with Credentialing Specialists in assigned territory to develop seamless account management from onboarding to receipt of contracts with effective dates
• Ensure the data in Modio reflect accurate statuses of applications and contracts, with regular follow up
• Regular review of provider credentials to ensure re-credentialing needs are completed in a timely manner
• Identify issues with credentialing through system, dashboard, and/or report review
• Facilitate regular calls with franchises to discuss status of credentialing applications
• Responsible for collaborating with Clinical Territory Directors on escalated franchises and working with urgency to issue resolution
• Developing key metrics and utilizing data to drive decisions and daily priorities
• Discuss, evaluate, and collaborate with colleagues & leadership on best practices
• Maintain relationships with clients, via email, calls and virtual meetings
• Provide timely status updates within requested turnaround times

Required Skills/Abilities

• Bachelors degree in business administration, health care administration or related field, or equivalent training and/or experience
• 3+ years of multi-state provider credentialing experience required, Behavioral Health Preferred but not required
• 1+ years of account management experience required
• Excellent communication skills to ensure the development of strong internal and external relationships
• Extreme attention to detail
• Strong sense of urgency to resolve escalated issues and concerns
• Ability to manage multiple tasks at the same time while delivering results within expected timelines
• Proficiency in MS Office Suite
• Ability to work independently and in a team environment

Independent franchisees are Equal Opportunity employers committed to diverse and inclusive workforces. Franchisees are independent business people and not employed by Ellie Family Services, PLLP, d/b/a Ellie Mental Health, Ellie MSO, LLC, or Ellie FAM LLC. Thus, each franchisee and each franchisee clinic is unique and the franchisee is alone responsible for all employment matters in their clinic, including the terms and conditions of employment for their employees, such as hiring, firing, discipline, supervision, staffing and scheduling. Depending on the clinic location you select, the job for which you apply may be in a clinic owned and operated by an independent franchisee, and not with the corporate-owned clinics, which are based in Minnesota. This means the franchisee, not Ellie Family Services, PLLP, is responsible for all employment matters at the clinic. If you are hired for the job, the franchisee will be your employer, not Ellie Family Services, PLLP or any of its affiliated entities. For franchisee clinic locations, please contact the franchisee organization directly to the extent you need assistance in completing forms or otherwise participating in that franchisees application process.

Ellie Mental Health is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, sex, religion, national origin, citizenship status, age, disability, veteran or military status, sexual orientation, gender identity/expression, genetic information, or any other legally-recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will ensure an equal employment opportunity without imposing an undue hardship on the operation of the business.

This is a remote position.

Ellie Mental Health - MN