Finni Health Inc. logo

Credentialing Manager

Job Overview

Location

US Remote

Job Type

Full-time

Category

Operations

Date Posted

July 9, 2026

Full Job Description

đź“‹ Description

  • • Drive efforts to scale Finni's network of insurance contracts and unblock stalled applications with payers, ensuring efficient onboarding and ongoing relationship management.
  • • Oversee enrollment submission team to ensure productivity expectations are met, active payer follow-up is timely, consistent, accurate, and recorded in the credentialing platform.
  • • Triage questions around payer enrollment updates, status, and general questions for providers and their respective support staff.
  • • Ensure strict adherence to payer regulations, industry standards (e.g., CMS billing, NCQA Guidelines, Delegated Credentialing), and internal policies, maintaining high service and compliance standards across all RCM functions.
  • • Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials.
  • • Collaborate extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with overall business objectives and drive strategic goals.
  • • Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.

🎯 Requirements

  • • 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech.
  • • Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates.
  • • Medicaid experience is required.
  • • Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives.
  • • Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
  • • Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.

🏖️ Benefits

  • • Opportunity to make a significant impact at a rapidly growing healthcare startup.
  • • Collaborative and dynamic work environment.
  • • Professional growth and development opportunities.
  • • Alignment with Finni’s mission to democratize autism care and empower providers through robust RCM.

Skills & Technologies

Remote

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About Finni Health Inc.

Finni Health is a healthcare technology company that provides insurance and benefits administration services for employers. It offers a platform that simplifies health plan selection, enrollment, and management for small and medium-sized businesses. The company integrates with existing payroll and HR systems to automate benefits administration, reduce administrative burden, and provide employees with digital tools to understand and use their health benefits.

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