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Specialist III, Enrollment Operations
<div class="content-intro"><p><strong>About Us:</strong></p> <p>Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.</p> <hr> <p> </p></div><p><strong>About The Role</strong></p> <p>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.</p> <ul> <li>Manage end-to-end delegated credentialing operations across an assigned portfolio of payors, including pre-delegation audits, ongoing compliance, quarterly reporting, and annual audits</li> <li>Serve as the primary point of contact for delegated payor relationships, handling communications, data requests, and issue resolution with cross-functional teams</li> <li>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</li> <li>Develop and maintain audit-ready credentialing files, including primary source verification documentation, credentialing committee records, and adverse action tracking</li> <li>Build and deliver reporting packages for submission to delegated entities & payors, including monthly delegated rosters, annual audits, and credentialing activity summaries on required cadences</li> <li>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</li> <li>Assist in the review and expectations of new Delegated Contract Agreements and implement processes to meet new DCA obligations</li> <li>Track regulatory and accreditation changes (NCQA, state-specific requirements) to ensure compliance with regulatory guidelines & industry standards</li> </ul> <p><strong>You’d be a great fit if…</strong></p> <ul> <li>You have 2-5 years of enrollment or credentialing experience, with at least 2 years of experience with delegated credentialing</li> <li>You have working knowledge of NCQA credentialing standards</li> <li>You’ve demonstrated experience preparing for and participating in delegated credentialing audits</li> <li>You have the ability to manage multiple payor relationships and deadlines simultaneously without close supervision</li> <li>You have high attention to detail with strong documentation habits</li> <li>You’re comfortable working cross-functionally and communicating clearly with both operational peers and payor contacts</li> <li>You have experience in a high-growth or tech-enabled healthcare environment (preferred); telehealth or behavioral health background is a plus</li> </ul> <p><strong>Employment Type:</strong> Hourly, Non-Exempt <br><strong>Base Compensation:</strong> The hourly compensation rate for this position is:</p> <p><strong>Fully Remote Commitment: </strong>$28.84 per hour</p> <p>This role is <strong>fully remote.</strong> Both arrangements include travel <strong>2–3 times per year</strong> (e.g., company and department offsites).</p> <p><em><span style="font-weight: 400;">If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. </span></em></p> <p>Note: Please upload your resume in PDF format </p><div class="content-conclusion"><p><strong>Full Time Employee Benefits:</strong></p> <ul> <li><strong>Comprehensive Health Coverage:</strong> Medical, dental, and vision insurance, plus life and disability coverage.</li> <li><strong>Parental Leave & Family Support: </strong>Up to 18 weeks paid leave and a new child stipend.</li> <li><strong>Financial Wellness:</strong> 401(k) program and equity opportunities.</li> <li><strong>Meals & Home Office Support: </strong>Stipends for home office setup and ongoing funds for meals, with tailored perks for both remote and in-office employees.</li> <li><strong>Time Off to Recharge:</strong> Flexible PTO, 12 paid holidays, and a full winter break week.</li> <li><strong>Wellness & Development: </strong>Annual stipends to put towards personal & professional growth.</li> <li><strong>Mental & Physical Health Support:</strong> 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).</li> <li><strong>Extra Perks: </strong>Pet insurance discounts, commuter benefits, and global travel assistance.</li> </ul> <hr> <p><em>Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.</em></p> <hr> <p><em>Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. </em></p> <hr> <p><span style="font-size: 8pt;"><strong><em data-stringify-type="italic">Use of AI Tools:</em></strong><strong data-stringify-type="bold"><em data-stringify-type="italic"> </em></strong><em data-stringify-type="italic">By submitting your application, you acknowledge and consent to the use of automated tools as part of our recruitment process. Specifically, we use a third-party AI tool,</em><em data-stringify-type="italic"><a class="c-link" href="https://www.gem.com/" target="_blank" data-stringify-link="https://www.gem.com" data-sk="tooltip_parent"> Gem</a></em><em data-stringify-type="italic">, to assist in the </em><strong><em data-stringify-type="italic">initial screening of resumes</em></strong><em data-stringify-type="italic">. This tool analyzes resumes based on role-specific criteria provided by our recruiters to identify potentially strong matches for the role. </em><strong data-stringify-type="bold"><em data-stringify-type="italic">I</em></strong><strong><em data-stringify-type="italic">mportantly, no hiring decisions are made by the AI tool</em></strong><strong data-stringify-type="bold"><em data-stringify-type="italic">.</em></strong><em data-stringify-type="italic"> All decisions about which candidates move forward are made by our human recruiting team after independent review.</em><em data-stringify-type="italic">More information about Gem’s approach to compliance with </em><em data-stringify-type="italic"><a class="c-link" href="https://support.gem.com/hc/en-us/articles/14870255473687-Gem-AI-Legal-Privacy-Compliance-FAQs#:~:text=How%20does%20Gem%20comply,non%2Ddiscriminatory%20hiring%20practices." target="_blank" data-stringify-link="https://support.gem.com/hc/en-us/articles/14870255473687-Gem-AI-Legal-Privacy-Compliance-FAQs#:~:text=How%20does%20Gem%20comply,non%2Ddiscriminatory%20hiring%20practices." data-sk="tooltip_parent">California FEHA regulations on automated decision systems</a></em><em data-stringify-type="italic"> and </em><em data-stringify-type="italic"><a class="c-link" href="https://support.gem.com/hc/en-us/articles/14870255473687-Gem-AI-Legal-Privacy-Compliance-FAQs#:~:text=How%20does%20Gem%20address%20NY,proper%20security%20and%20procedural%20standards." target="_blank" data-stringify-link="https://support.gem.com/hc/en-us/articles/14870255473687-Gem-AI-Legal-Privacy-Compliance-FAQs#:~:text=How%20does%20Gem%20address%20NY,proper%20security%20and%20procedural%20standards." data-sk="tooltip_parent">New York Local Law 144</a></em><em data-stringify-type="italic"> can be found on the Gem compliance website.</em><em data-stringify-type="italic">We are committed to transparency and fairness in our hiring practices. If you have questions about how our AI tools work, or would like more information about how your application will be processed, please contact us at talentops@growtherapy.com</em><em data-stringify-type="italic"><a href="mailto:talentops@growtherapy.com.I">.</a></em><em data-stringify-type="italic"> If you require an accommodation due to a disability, or have concerns about the use of AI in the hiring process, please also contact us. We are happy to provide assistance or offer an alternative method of participating in the recruitment process.</em></span></p></div>