Why We're Here:
At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.
We are seeking an operationally-minded Director of Credentialing Operations to lead the day-to-day functions of provider credentialing, cross-licensing, and health plan enrollment. This role is critical to ensuring our clinical workforce is ready to serve patients as quickly and efficiently as possible. You’ll focus on designing scalable systems and leveraging automation to optimize workflows, all while maintaining regulatory compliance and enabling Brave Health’s rapid growth across markets.
Key Responsibilities
Provider Credentialing Lifecycle: Oversee the end-to-end credentialing process, from pre-hire to onboarding and maintenance, ensuring accuracy, timeliness, and compliance across all markets.
Cross-Licensing Strategy Execution: Work with Talent and Clinical leaders to identify and drive provider cross-licensing initiatives that align supply with patient demand at the state level.
Health Plan Enrollment Operations: Manage provider enrollment with Medicaid and commercial payers, ensuring required documentation and timelines are met to avoid delays in billing or care.
Health Plan Contracting Strategy: Define and implement a contracting strategy, focusing on delegated credentialing, rate negotiations, value-based contracting, and CPT code optimization.
Delegated Credentialing and Audit Management: Pursue and secure delegated credentialing status, ensure compliance with health plan requirements, and lead audit processes for provider files.
Operational Excellence & Automation: Identify bottlenecks and inefficiencies in credentialing workflows; implement systems, tools, and automation to increase throughput and provider readiness.
Internal Collaboration: Partner closely with the Business Operations, Talent Acquisition, and RCM teams to maintain visibility on provider status, hiring pipelines, and licensing requirements.
Compliance & Quality Assurance: Maintain accurate records and ensure adherence to state, federal, and payer-specific credentialing and background check requirements.
Data & Reporting: Build dashboards and tracking mechanisms to measure credentialing timelines, licensing volume, enrollment milestones, and provider readiness metrics.
What You Bring
5–7 years of experience in healthcare credentialing, licensing, or provider enrollment, preferably in a behavioral health or Medicaid-focused environment.
Strong knowledge of state-by-state licensing requirements, particularly Medicaid and AHCA (Florida) regulations.
Demonstrated success managing high-volume operational processes and cross-functional workflows.
Experience implementing or improving credentialing systems and automation tools.
Detail-oriented with excellent organizational and project management skills.
Data-driven mindset; able to track, analyze, and report on performance metrics and process health.
A proactive and collaborative approach; you thrive in a fast-moving, mission-driven startup.
Preferred Qualifications
Familiarity with behavioral health coding, RCM processes, or delegated credentialing structures.
Experience in scaling teams and operations in a high-growth, multi-state care delivery environment.
Comfort working in a fully remote team environment.
Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
