Manager, Credentialing & Payer Operations

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.The OpportunityAllara is expanding our footprint and volume rapidly, and Payer Operations is the engine that keeps us growing, enrollment, credentialing, and the payer-side processes that let clinicians see patients. The Manager of Credentialing and Payer Operations runs that engine day to day: it owns the throughput, quality, and reliability of payer operations as volume scales, and builds a team that can absorb that growth without a proportional increase in headcount or manual work.Location: Hybrid (NYC) or Remote. We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed.Your ImpactCredentialingBuild and strengthen structures to ensure providers are credentialed in a timely and compliant manner; work to automate and optimize this process and ensure a fast and high quality provider experienceAdminister our Credentialing Committee, collaborating with clinical leadership to enforce guidelines, provide timely review of files, and coordinate provider applicationsOwn relationships with our credentialing/CVO vendors to monitor and improve SLA performanceOwn day-to-day provider data maintenance and the architecture to support all credentialing and licensing needs at scalePayer EnrollmentServe as the subject matter expert with provider enrollments with health plans; developing relationships with key contacts and documenting/embedding the enrollment processes/SOPs within the team workflowsDesign quality controls and error-catching checkpoints that reduce rework and rejected applicationsEnsure the team documents updates meticulouslyActively monitor team performance and SLAs, flagging aging items and escalations quickly to identify and solve root cause issues before they become systematic problemsLeadershipCoach and lead a team of US based and international specialistsCoordinate cross-functionally with RCM, payer strategy/ business development teams to investigate and solve root cause problems in our payer and claims cycles and in our national expansion effortsTrain new team members to be successful and productive members of the team quicklySet and enforce performance standards across the teamWork with product, engineering and other teams to design automations and AI based flows that make the team more efficient in delivering consistent quality workRequired Qualifications5+ years of experience in high growth operations, with a preference for direct exposure to provider credentialing, licensing and payer enrollmentDemonstrated ability to build and improve operational systems in a fast-moving, resource-constrained environmentProcess-obsessed and detail-oriented: you see inefficiency and can't help but fix itStrong analytical skills: comfortable pulling data, identifying trends, and translating insights into operational decisionsExcellent cross-functional communicator, able to work across teams and move things forward without direct authorityGenuinely excited by automation, tooling, and AI. You see technology as a force multiplier, not a threatPreferred QualificationsExperience in telehealth or multi-state provider network operationsHands-on experience with payer portals and third party portals i.e. AvailityFamiliarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)Experience in multi-state telehealth, digital health, or a high-growth healthcare environmentExposure to credentialing standards (e.g., NCQA, CMS)What Allara OffersCompensation & Career Growth$90,000-$100,000 with opportunities for advancementEquityProfessional development & employee learning programsActual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development <perks.Work> Environment & Flexibility3-day hybrid in NYC or fully remoteUnlimited PTO & 11 company holidaysHealth & WellnessMedical, dental, and vision benefitsHealth Savings Account (HSA) & Flexible Spending Account (FSA)Long- and short-term disability coverageAnnual employee wellness stipendFamily & Future Planning401(k) planParental leave & family planning support benefitsAdditional PerksCompany-issued laptopAnnual work-from-home stipendCommuter benefits (if applicable)A collaborative, mission-driven culture focused on improving patient careAt Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.