{"id":4224958,"url":"https://alion.io/job/salma-health-credentialing-manager","title":"Credentialing Manager","company":{"id":687966,"name":"Salma Health","domain":"salmahealth.com","url":"https://alion.io/company/salmahealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"middle","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Mateo, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":80000,"max":100000,"currency":"USD","period":"year","gross":null,"usd_annual":100000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Notion","optional":true}],"status":"live","first_seen_at":"2026-11-13T00:41:42Z","employer_posted_date":"2026-11-13","last_verified_at":"2026-11-15T20:18:47Z","board_verified":true,"closed_at":null,"days_open":2,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":2},"description":"The Credentialing Manager leads Salma Health’s provider credentialing, licensing, and re-credentialing. By keeping provider records accurate and credentialing requirements current, this role helps clinicians provide care and supports timely claim reimbursement. The manager combines hands-on operational ownership with process development, vendor oversight, and compliance monitoring, and may supervise credentialing coordinators as the team grows.\nLocation\nHybrid, with in-office presence preferred at our San Mateo office on Mondays, Tuesdays, and Wednesdays. Remote work may be considered for the right candidate based in California, Colorado, Maryland, Massachusetts, Michigan, North Carolina, Utah, or Wisconsin.\nKey Responsibilities\nManage the provider credentialing lifecycle, from onboarding and application review through approval and ongoing record maintenance.\n\nKeep provider and practice records current across CAQH, NPPES, PECOS, state Medicaid and commercial payer portals, and internal systems.\n\nCoordinate credentialing onboarding and offboarding steps with HR, clinical operations, and legal and compliance partners.\n\nSupport the payer enrollment team with provider enrollment and revalidation for commercial payers, Medicare, Medicaid/Medi-Cal, managed care plans, and TRICARE.\n\nMaintain a provider-payer enrollment matrix that tracks application status, effective dates, delegated credentialing arrangements, and follow-up deadlines.\n\nMonitor expirations and renewals for licenses, DEA and state controlled substance registrations, board certifications and applicable facility credentials.\n\nConduct recurring exclusion, sanction, and NPDB screenings, escalating findings promptly.\n\nPrepare for and respond to payer and delegated credentialing audits and accreditation reviews\n\nHelp maintain policies, procedures, and forms aligned with NCQA standards, state law, and payer requirements.\n\nManage credentialing vendors and software, report on enrollment progress and risk areas, and serve as a point of contact for providers and internal partners on credentialing questions.\n\nRequired Qualifications\nAt least 3 years of experience in healthcare credentialing and payer enrollment.\n\nWorking knowledge of NCQA credentialing standards, CMS enrollment requirements, and state licensing and Medicaid processes.\n\nHands-on experience with CAQH, PECOS, NPPES, and payer enrollment portals.\n\nStrong organizational and project management skills, including the ability to manage multiple applications, deadlines, and cross-functional workstreams.\n\nWorking knowledge of health information management and privacy principles.\n\nExcellent written and verbal communication skills, including experience collaborating with vendors and payers.\n\nPreferred Qualifications\nExperience in behavioral health, psychiatry, or multi-entity or multi-state practice groups.\n\nFamiliarity with DEA and state controlled substance registration requirements.\n\nExperience with payer audits and/or delegated credentialing audits.\n\nExperience building credentialing policies, SOPs, forms, or tracking workflows using tools such as GSuite, Notion, or spreadsheets.\n\nCompany Mission & Vision\nWe are the brain health company of the future that integrates care delivery, technology innovation and research breakthroughs to better understand brain biology and diagnose, treat and ultimately cure brain disorders for all stages of life.\nWho We Are\nAt Salma Health, we are transforming the mental and neurological brain healthcare paradigm from a disjointed, one-size-fits-all approach to a comprehensive, end-to-end brain healthcare system featuring advanced diagnostics, evidence-based rapid-acting interventions, and care coordination under one roof.\nThrough a streamlined system of continuous monitoring and support, Salma Health’s system will deliver much-needed improved outcomes for conditions such as major depressive disorder, PTSD, bipolar disorder, and other conditions with imminent risk, as well as neurodegenerative disorders.\nCompensation & Benefits\nThe compensation for this position includes:\nBase Compensation: $80,000-$100,000; dependent on experience, qualifications, and location.\n\nBenefits: Medical, dental, vision, PTO, and additional benefits.\n\nWe reserve the right to modify benefit offerings at any time, in accordance with applicable laws.\nWork Authorization\nSponsorship for employment authorization may be considered on a case-by-case basis depending on the role and candidate qualifications.\nEqual Opportunity & Accessibility Statement\nWe are committed to providing a workplace that is inclusive, respectful, and free from discrimination. We welcome applicants of all backgrounds and make employment decisions without regard to race, color, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, ancestry, citizenship, age, physical or mental disability, medical condition, genetic information, marital status, military or veteran status, or any other characteristic protected by California or federal law.\nIn accordance with the California Fair Chance Act, we will consider qualified applicants with arrest and conviction records. 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