Specialist III, Enrollment Operations

About The Role

The Delegated Credentialing Specialist is a core member of Grow Therapy's Enrollment Operations team, responsible for managing the full lifecycle of delegated credentialing agreements with health insurance payors. This role sits at the intersection of compliance, payor relationships, and operational execution - and is critical to maintaining Grow Therapy's ability to contract and operate under delegated contracts at scale. The ideal candidate brings deep familiarity with NCQA standards, delegated oversight requirements, and the audit processes that govern delegated agreements, and can operate with a high degree of autonomy in a fast-moving environment.

Responsibilities

• Manage end-to-end delegated credentialing operations across an assigned portfolio of payors, including pre-delegation audits, ongoing compliance, quarterly reporting, and annual audits
• Serve as the primary point of contact for delegated payor relationships, handling communications, data requests, and issue resolution with cross-functional teams
• Prepare, coordinate, and execute both pre-delegation and annual credentialing audits, ensuring documentation, files, and processes meet NCQA and payor-specific standards, and resolve any Corrective Action Plans identified during audits
• Develop and maintain audit-ready credentialing files, including primary source verification documentation, credentialing committee records, and adverse action tracking
• Build and deliver reporting packages for submission to delegated entities & payors, including monthly delegated rosters, annual audits, and credentialing activity summaries on required cadences
• Coordinate with internal stakeholders (enrollment, partnerships, RCM, legal & compliance, special projects) to ensure provider data is accurate and current across systems, and perform regular roster reconciliations with delegated entities
• Assist in the review and expectations of new Delegated Contract Agreements and implement processes to meet new DCA obligations
• Track regulatory and accreditation changes (NCQA, state-specific requirements) to ensure compliance with regulatory guidelines & industry standards

You'd be a great fit if…

• You have 2-5 years of enrollment or credentialing experience, with at least 2 years of experience with delegated credentialing
• You have working knowledge of NCQA credentialing standards
• You've demonstrated experience preparing for and participating in delegated credentialing audits
• You have the ability to manage multiple payor relationships and deadlines simultaneously without close supervision
• You have high attention to detail with strong documentation habits
• You're comfortable working cross-functionally and communicating clearly with both operational peers and payor contacts
• You have experience in a high-growth or tech-enabled healthcare environment (preferred); telehealth or behavioral health background is a plus

Compensation:

• Base Compensation: The hourly compensation rate for this position is: $28.84 per hour

Full Time Employee Benefits:

• Comprehensive Health Coverage: Medical, dental, and vision insurance, plus life and disability coverage.
• Parental Leave & Family Support: Up to 18 weeks paid leave and a new child stipend.
• Financial Wellness: 401(k) program and equity opportunities.
• Meals & Home Office Support: Stipends for home office setup and ongoing funds for meals, with tailored perks for both remote and in-office employees.
• Time Off to Recharge: Flexible PTO, 12 paid holidays, and a full winter break week.
• Wellness & Development: Annual stipends to put towards personal & professional growth.
• Mental & Physical Health Support: No-cost access to therapy through the Grow platform, weekly flexible hours for self-care (“Mental Health Mornings/Afternoons”) and memberships to leading wellness apps (such as One Medical, Headspace, and Talkspace).
• Extra Perks: Pet insurance discounts, commuter benefits, and global travel assistance.