Senior Manager, Contracting & Credentialing at Dreem Health

Olive, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

04 May, 26

Salary

90000.0

Posted On

03 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Provider Enrollment, Payer Contracting, Compliance, Data-Driven, Organizational Skills, Stakeholder Management, Telehealth Operations, Reimbursement, Government Programs, Vendor Management, Negotiation, Network Expansion, Healthcare, Sleep Medicine, API-Driven Systems

Industry

Hospitals and Health Care

Description

About Dreem Health, by Sunrise Sunrise Group is building the future of sleep health by combining innovative technology with expert care. Our mission is simple: make better sleep accessible to everyone. We do this in two ways: 🔹Sunrise: our technology for diagnosis, treatment, and care delivery 🔹Dreem Health: our digital clinic, where patients receive care from sleep specialists Together, we’re tackling one of healthcare’s biggest challenges — helping millions of people with sleep disorders get the care they deserve.We’re a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon’s Alexa Fund, Eurazeo, Kurma, and VIVES. If you want to make a real impact in healthcare and help people sleep better, you’re in the right place. And if you don’t see the perfect role right now, reach out; great people often find their place here. Your Opportunity The Senior Manager of Contracting & Credentialing is a strategic and operational leader responsible for overseeing provider credentialing, provider licensing, payer contracting, and network expansion across multiple states for a growing telehealth sleep medicine organization. This role requires deep expertise in multi-state credentialing, payer enrollment, government programs (Medicare/TriCare), and third-party vendor management, with a strong understanding of reimbursement and compliance. This role is critical to enabling scalable growth, payer access, and regulatory compliance in a complex, multi-state telehealth environment. The Senior Manager will directly influence provider onboarding speed, payer coverage, revenue integrity and long-term network strategy with direction from the Direction of Managed Care Contracting. The ideal candidate is CPC-certified, highly organized, data-driven, and experienced in scaling provider networks while maintaining compliance with federal, state, and payer requirements. What You'll Do Credentialing & Provider Enrollment Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs, and any additional allied clinicians across multiple states Oversee CAQH, PECOS, Medicare, and commercial payer enrollment Ensure compliance with state licensure, scope of practice, supervision, and collaborative practice requirements Maintain credentialing records, expiration tracking, and audit-ready documentation Manage credentialing/licensing timelines to support rapid provider onboarding and market expansion Payer Contracting & Network Growth Lead payer contracting strategy across commercial, Medicare Advantage, and government payers with direction from Director of Managed Care Contracting Negotiate and evaluate fee schedules, reimbursement rates, and contract terms Support payer expansion strategy aligned with business growth, market demand, and clinical capabilities Coordinate contracting for multi-entity, multi-TIN structures Partner with leadership to assess network adequacy, access, and financial impact Government & Regulatory Contracting Oversee Medicare enrollment and compliance (PECOS, reassignment, revalidation) Support state-specific government program participation Ensure adherence to CMS, No Surprises Act, and payer regulatory requirements Collaborate with Compliance to mitigate credentialing and contracting risk Third-Party Vendor Management Manage relationships with credentialing and contracting vendors Define SLAs, workflows, and performance expectations Audit vendor work for accuracy, timeliness, and compliance Serve as escalation point for complex credentialing or payer issues Cross-Functional Leadership Partner closely with Compliance, Legal, Finance, Product, Clinical Leadership and Sales/Marketing/Business Development Support product and dev teams with credentialing and payer data requirements (APIs, system builds) Provide reporting and dashboards on credentialing status, payer growth, and risk areas Prepare materials for board, compliance committee, and executive review What You Bring 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 What Makes You Stand Out Experience in a telehealth or virtual care environment Knowledge of AASM, ACHC, or similar accreditation standards Experience supporting API-driven or data-centralized credentialing systems Exposure to payer analytics, market expansion strategy, or value-based care About Our Team At Sunrise Group, we’re tackling real sleep health challenges that affect millions. We keep things clear and simple ✨, value trust and collaboration 🤝, and lead with optimism and compassion 🌞. These values guide everything we do. If you’re looking for the autonomy to take ownership of your work, make an impact, and be part of a team where ideas move fast and everyone has a voice, Sunrise might just be the right fit. What We Offer Meaningful work that directly improves peoples’ lives Be part of an international team across the US, France, Belgium Annual company offsite 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 Compensation $80,000-$90,000 OTE, depending on experience. We hire humans, not bullet points. Don’t meet every single qualification? That’s okay. We care more about who you are than what’s on your CV. We’re looking for people who are curious, resourceful, and ready to roll up their sleeves — especially if you’re excited about building something new in healthcare. So if you think you could make an impact here, reach out to us. Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.

Responsibilities

The Senior Manager of Contracting & Credentialing oversees provider credentialing, licensing, payer contracting, and network expansion for a telehealth sleep medicine organization. This role is essential for ensuring compliance and enabling scalable growth in a multi-state environment.