Dreem Health | Sunrise
Digital Sleep Clinic | At-Home Sleep Diagnosis & Treatment | A Sunrise Company
Senior Manager, Contracting & Credentialing
Location
California + 1 moreAll locations: California, New York
Posted
44 days ago
Salary
$80K - $90K / year
Seniority
Senior
Professional Certificate7 yrs expEnglish
Job Description
• Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs across multiple states
• Oversee CAQH, PECOS, Medicare, and commercial payer enrollment
• Ensure compliance with state licensure, scope of practice, and supervision requirements
• Maintain credentialing records, expiration tracking, and audit-ready documentation
• Manage credentialing/licensing timelines to support rapid provider onboarding
• Lead payer contracting strategy across commercial, Medicare Advantage, and government payers
• Negotiate and evaluate fee schedules, reimbursement rates, and contract terms
• Oversee Medicare enrollment and compliance
• Collaborate with Compliance to mitigate credentialing and contracting risk
• Manage relationships with credentialing and contracting vendors
• Provide reporting and dashboards on credentialing status, payer growth, and risk areas
Job Requirements
- CPC Certification (required)
- 7+ years of experience in provider credentialing, payer contracting, or provider enrollment
- Proven experience with multi-state credentialing and telehealth operations
- Strong knowledge of Medicare/PECOS, commercial payers, and government programs
- Experience managing third-party credentialing and contracting vendors
- Familiarity with sleep medicine, DME, or specialty care preferred
- Strong understanding of provider reimbursement and fee schedules
- Exceptional organizational, communication, and stakeholder-management skills
Benefits
- Comprehensive health benefits (medical, dental, vision)
- FREE One Medical membership
- 401(k) with company match
- 20 days PTO + 10 paid holidays + 80 hours paid sick leave
- Monthly phone and internet stipend
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