Credentialing Manager

About Us At Sleep Doctor, we’re helping millions get a full night's rest. As the most trusted name in sleep health, we make better sleep possible with proven support, clear answers, and hands-on care that fits real life. Across our brands—SleepDoctor.com, SleepFoundation.org, and SleepApnea.org—we combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives. If you’re passionate about making better sleep possible—and want to help reshape the future of sleep care—we’d love to meet you. The Role Sleep Doctor is seeking a detail-oriented, highly organized, and proactive Credentialing Manager to oversee our organization's provider credentialing and enrollment processes. In this role, you will lead a dedicated team of specialists, ensuring all medical staff are fully compliant with federal, state, and institutional regulations. You will own the full lifecycle of provider enrollment with commercial and government payers, troubleshoot systemic bottlenecks, and serve as the primary point of contact for external audits. What You’ll Do Every Day Maintain strict alignment with NCQA, URAC, Joint Commission, CMS, and state regulatory guidelines. Design, implement, and audit internal quality control processes to ensure zero gaps in provider files. Serve as the lead coordinator for all external facility and plan audits. Manage relationships with major commercial insurance plans, Medicare, and Medicaid. Monitor key performance indicators (KPIs) like "Days to Enroll" and proactively resolve complex application rejections to protect organizational cash flow. Collaborate closely with the Compliance, Billing, Legal, Clinical and Revenue operations teams to troubleshoot credentialing-related claim denials. Oversee the accuracy and security of the credentialing database Ensure CAQH profiles, NPPES data, and state license renewals are updated systematically across the entire roster. Oversee the full lifecycle of state-level licensing, managing both individual provider credentials (state medical boards, DEA, and controlled substance certificates) and facility-level DME operating licenses, out-of-state distribution permits, and surety bond renewals across all active markets. What You Bring to the Role Minimum of 6+ years of healthcare credentialing experience, with at least 1–2 years in a supervisory or lead specialist role. Bachelor’s degree in Healthcare Administration, Business Administration, or a related field preferred (equivalent direct experience will be considered). CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services Management) is required. Mastery of CAQH, PECOS, and standard credentialing software. Exceptional attention to administrative detail, strong verbal communication (for negotiating with insurance representatives), and proven ability to handle sensitive, confidential provider information. Who We Are We’re committed to a vision of millions waking rested and ready. We are Human First because our patients and teammates are why we’re here. We are growing rapidly but sustainably because we are committed to Relentless Progress. Run into a challenge or a new opportunity? We tackle it as a team because we know that we are Stronger Together. We’re going to push you to ask big questions and find bold answers. Everyone has a seat at the table, regardless of their title or job description Compensation Range $75,000 - $90,000. Note that final compensation is subject to the candidate’s specific qualifications and location, as well as the needs of the company. The Company currently provides medical, vision, and dental insurance with 100% of the employee medical, vision, and dental premiums covered by the Company. There is an option to participate in both a medical FSA and dependent care FSA. We offer a 401(k) plan, with fully matching contributions up to 3% of salary and 50% matching from 3%…