Sunrise · 1 day ago
Senior Manager, Contracting & Credentialing
United States
Full-time
Remote
Mid, Senior Level
$80K/yr - $90K/yr
7+ years expSunrise Group is building the future of sleep health by combining innovative technology with expert care. The Senior Manager of Contracting & Credentialing will oversee provider credentialing, payer contracting, and network expansion across multiple states for a growing telehealth sleep medicine organization.
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Responsibilities
Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs, and any additional allied clinicians across multiple states
Oversee CAQH, PECOS, Medicare, and commercial payer enrollment
Ensure compliance with state licensure, scope of practice, supervision, and collaborative practice requirements
Maintain credentialing records, expiration tracking, and audit-ready documentation
Manage credentialing/licensing timelines to support rapid provider onboarding and market expansion
Lead payer contracting strategy across commercial, Medicare Advantage, and government payers with direction from Director of Managed Care Contracting
Negotiate and evaluate fee schedules, reimbursement rates, and contract terms
Support payer expansion strategy aligned with business growth, market demand, and clinical capabilities
Coordinate contracting for multi-entity, multi-TIN structures
Partner with leadership to assess network adequacy, access, and financial impact
Oversee Medicare enrollment and compliance (PECOS, reassignment, revalidation)
Support state-specific government program participation
Ensure adherence to CMS, No Surprises Act, and payer regulatory requirements
Collaborate with Compliance to mitigate credentialing and contracting risk
Manage relationships with credentialing and contracting vendors
Define SLAs, workflows, and performance expectations
Audit vendor work for accuracy, timeliness, and compliance
Serve as escalation point for complex credentialing or payer issues
Partner closely with Compliance, Legal, Finance, Product, Clinical Leadership and Sales/Marketing/Business Development
Support product and dev teams with credentialing and payer data requirements (APIs, system builds)
Provide reporting and dashboards on credentialing status, payer growth, and risk areas
Prepare materials for board, compliance committee, and executive review
Qualification
Required
CPC Certification (required)
7+ years of experience in provider credentialing, payer contracting, or provider enrollment
Proven experience with multi-state credentialing and telehealth operations
Strong knowledge of Medicare/PECOS, commercial payers, and government programs
Experience managing third-party credentialing and contracting vendors
Strong understanding of provider reimbursement and fee schedules
Exceptional organizational, communication, and stakeholder-management skills
Preferred
Familiarity with sleep medicine, DME, or specialty care
Experience in a telehealth or virtual care environment
Knowledge of AASM, ACHC, or similar accreditation standards
Experience supporting API-driven or data-centralized credentialing systems
Exposure to payer analytics, market expansion strategy, or value-based care
Benefits
Comprehensive health benefits (medical, dental, vision)
FREE One Medical membership
401(k) with company match
20 days PTO + 10 paid holidays + 80 hours paid sick leave
Monthly phone and internet stipend
Company
Sunrise
We are a virtual sleep clinic, using our own 3-gram sensor to diagnose sleep with gold standard quality.
Founded in 2015Brussels, Brussels Hoofdstedelijk Gewest, BEL
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$55.83MKey Investors
EurazeoKurma Partners
2025-09-25Series Unknown· $29.38M
2023-03-09Series A· $18M
2021-12-15Seed· $7.34M
Leadership Team
Laurent Martinot
Co-Founder & CEO
Recent News
2026-01-14
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2025-11-28
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2025-11-14
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