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.
Location
Hybrid, 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.
Key Responsibilities
Manage the provider credentialing lifecycle, from onboarding and application review through approval and ongoing record maintenance.
Keep provider and practice records current across CAQH, NPPES, PECOS, state Medicaid and commercial payer portals, and internal systems.
Coordinate credentialing onboarding and offboarding steps with HR, clinical operations, and legal and compliance partners.
Support the payer enrollment team with provider enrollment and revalidation for commercial payers, Medicare, Medicaid/Medi-Cal, managed care plans, and TRICARE.
Maintain a provider-payer enrollment matrix that tracks application status, effective dates, delegated credentialing arrangements, and follow-up deadlines.
Monitor expirations and renewals for licenses, DEA and state controlled substance registrations, board certifications and applicable facility credentials.
Conduct recurring exclusion, sanction, and NPDB screenings, escalating findings promptly.
Prepare for and respond to payer and delegated credentialing audits and accreditation reviews
Help maintain policies, procedures, and forms aligned with NCQA standards, state law, and payer requirements.
Manage 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.
Required Qualifications
At least 3 years of experience in healthcare credentialing and payer enrollment.
Working knowledge of NCQA credentialing standards, CMS enrollment requirements, and state licensing and Medicaid processes.
Hands-on experience with CAQH, PECOS, NPPES, and payer enrollment portals.
Strong organizational and project management skills, including the ability to manage multiple applications, deadlines, and cross-functional workstreams.
Working knowledge of health information management and privacy principles.
Excellent written and verbal communication skills, including experience collaborating with vendors and payers.
Preferred Qualifications
Experience in behavioral health, psychiatry, or multi-entity or multi-state practice groups.
Familiarity with DEA and state controlled substance registration requirements.
Experience with payer audits and/or delegated credentialing audits.
Experience building credentialing policies, SOPs, forms, or tracking workflows using tools such as GSuite, Notion, or spreadsheets.
Company Mission & Vision
We 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.
Who We Are
At 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.
Through 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.
Compensation & Benefits
The compensation for this position includes:
Base Compensation: $80,000-$100,000; dependent on experience, qualifications, and location.
Benefits: Medical, dental, vision, PTO, and additional benefits.
We reserve the right to modify benefit offerings at any time, in accordance with applicable laws.
Work Authorization
Sponsorship for employment authorization may be considered on a case-by-case basis depending on the role and candidate qualifications.
Equal Opportunity & Accessibility Statement
We 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.
In accordance with the California Fair Chance Act, we will consider qualified applicants with arrest and conviction records. If you require a reasonable accommodation during the application or hiring process, please contact us directly—we’re happy to help.