Credentialing & Enrollment Manager

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they’re most in need, Steadfast is relentlessly focused on making low-barrier, high quality care accessible to all. We know that the journey to recovery is unique for every individual, and our patient-centered approach ensures we meet patients where they are, providing evidence-based therapies with unwavering support in a compassionate environment that fosters healing and growth.  

Role 

The Credentialing & Enrollment Manager will oversee all aspects of provider credentialing, enrollment, and licensure activities for Steadfast Health’s clinical staff. This includes credentialing and re-credentialing providers with commercial and government health plans, maintaining relationships with hospital partners for hospital credentialing to support our inpatient consult service line, and managing provider licensure (i.e.State Medical License or DEA registration) across multiple states. This individual will serve as a key liaison between internal leadership, clinical providers, health plans, and credentialing bodies to ensure all providers are fully authorized to deliver care in a compliant and timely manner.  

Responsibilities  

Health Plan Credentialing & Enrollment 

• Manage all provider credentialing and re-credentialing activities with commercial payers, Medicaid, and Medicare. 
• Prepare and submit accurate and complete credentialing applications for behavioral health and medical providers. 
• Maintain up-to-date provider rosters and ensure timely updates with payers. 
• Track and monitor credentialing application status, proactively resolving delays or issues. 

Hospital & Facility Credentialing 

• Oversee the process of credentialing providers with hospital and facility partners to support our inpatient consult service line. 
• Collaborate with hospital medical staff offices to ensure provider files meet facility requirements. 
• Oversee the process of credentialing support team members who need hospital privileges 

Licensure Management 

• Manage and track all provider licenses needed for provider to perform services across multiple states 
• Support providers in obtaining new state licenses as Steadfast Health expands its footprint. 
• Ensure all credentials, certificates, and licenses are current and compliant with federal, state, and payer regulations. 

Process Development & Oversight 

• Develop and maintain standardized credentialing policies, procedures, and workflows. 
• Implement systems (such as CAQH, credentialing databases, or software tools) to streamline credentialing operations. 
• Maintain credentialing files in accordance with NCQA, URAC, and other regulatory standards. 
• Generate regular reports on credentialing status, expirations, and compliance risks for leadership review. 

Some of the Benefits   

• Healthcare Coverage: Medical, dental, and vision insurance, with the company contributing 60% of the premium on your behalf. 
• Time Off: Flexible time off with generous PTO, floating paid holidays, and paid volunteer days   
• Re-Fuel Days: 4 additional paid days off per year for mental health, rest, or continuing education (CEU) activities.  
• Employee Assistance Program (EAP): Free, confidential access to therapist sessions, legal guidance, financial resources, health coaching, and more - to support your overall well-being.  
• 401K Match up to 5%  
• 100% employer-paid short-term and long-term disability and employer-sponsored life insurance   
• Additional Benefits: Rightway Health Concierge, PerkSpot discount program