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Neuronetics

Non-invasive TMS device for depression

Managed Care Manager

Clinical Support & Patient AdministrationUpdated on Nov 11
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • Strong understanding of managed care operations, payer credentialing, and reimbursement processes.
  • Ability to train, coach, and develop teams.
  • Strong analytical, organizational, and problem-solving abilities.
  • Proficiency in Microsoft Excel and data analysis and reporting.
  • Strong communication and interpersonal skills, and ability to collaborate with cross-functional teams.
  • High attention to detail and ability to manage multiple priorities in a deadline-driven environment.
  • Commitment to compliance, accuracy, and process improvement.
  • Bachelor’s degree in Healthcare Administration, Business, or a related field.
  • Five to seven years of experience in managed care, credentialing, or payer enrollment.
  • Experience with CRM or credentialing systems such as Salesforce, AdvancedMD, CAQH, NPPES, PECOS, and SharePoint.
  • Must be authorized to work for any employer in the United States.

Responsibilities

  • Manage day-to-day Managed Care team activities, ensuring timely completion of credentialing, payer enrollment, and contract setup activities.
  • Oversee the performance and development of Managed Care Specialists I and II, including training, coaching, and performance evaluations.
  • Allocate workload, monitor productivity, and ensure adherence to department standards and timelines.
  • Promote accountability, accuracy, and collaboration within the team.
  • Oversee end-to-end credentialing and payer enrollment for providers across the network.
  • Ensure compliance with payer requirements, accreditation standards, and internal policies.
  • Troubleshoot escalated credentialing and enrollment issues and guide internal and external stakeholders toward resolution.
  • Maintain current knowledge of payer enrollment systems and updates, including CAQH, PECOS, NPPES, and payer portals.
  • Support the Director of Managed Care in payer contract setup, maintenance, and renewals.
  • Maintain payer matrices, contract repositories, and key terms to ensure contract accuracy and accessibility.
  • Coordinate with Finance and Revenue Cycle teams on payer setup and reimbursement alignment.
  • Identify and communicate operational or contractual improvement opportunities to leadership.
  • Oversee provider data management to ensure information is current, accurate, and consistent across systems, including Salesforce, AdvancedMD, and SharePoint.
  • Prepare and analyze managed care metrics and dashboards covering credentialing turnaround times, enrollment status, and payer updates.
  • Monitor trends and identify risks or bottlenecks in credentialing and contracting workflows.
  • Collaborate with the Director of Managed Care to evaluate and implement process improvements that enhance accuracy and efficiency.
  • Develop, document, and enforce departmental procedures and best practices.
  • Ensure compliance with HIPAA, payer requirements, and applicable federal and state regulations.
  • Support internal and external audit preparation and remediation as needed.
  • Liaise among Managed Care, Operations, Finance, and Revenue Cycle teams to align provider setup and reimbursement processes.
  • Assist in interpreting payer contract language and communicating its implications to internal teams.
  • Partner with leadership on special projects, new market expansions, and organizational initiatives related to managed care and network management.
  • Perform other duties as assigned.

Desired Qualifications

  • Credentialing certification such as CPCS or CPMSM.
  • Two or more years of leadership or supervisory experience in a healthcare or revenue cycle management setting.

About the Company

Neuronetics

Non-invasive TMS device for depression

Neuronetics makes non-invasive neurostimulation devices for psychiatric disorders, led by the NeuroStar Advanced Therapy system that uses transcranial magnetic stimulation to treat mood disorders. Treatments are outpatient, short sessions with no anesthesia, targeting mood-regulation brain areas. Revenue comes from selling or leasing devices and selling single-use treatment components; after acquiring Greenbrook TMS, they also operate their own network of treatment centers. Their goal is to expand neuromodulation use, grow the installed base, and scale both device sales and clinics to help more patients.

Company size
201-500
Company stage
IPO
Headquarters
Malvern, IA
Founded
2003

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