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Credentialing Business Partner

AllerVie Health

AllerVie Health

Frisco, TX, USA
Posted on Mar 31, 2026
Position: Credentialing Business Partner
Location: Frisco, TX
Job Id: 2142
# of Openings: 1

Credentialing Business Partner - Hybrid - Frisco, TX
Why AllerVie Health?
Millions of people live with allergies, asthma, and complex immunological conditions that quietly disrupt their daily lives - from poor sleep and chronic discomfort to limits on how they work, move, and show up for the people they love. Too often, care is fragmented, reactive, or focused on managing symptoms instead of truly improving quality of life.
AllerVie Health exists to change that. Our mission is simple but powerful: help patients achieve and maintain better health - free from the symptoms and suffering that hold them back. Through comprehensive, personalized care, we support patients at every stage of their journey, delivering real relief and measurable improvements in how they live day to day.
As a growing healthcare organization, we’re expanding access to specialized allergy and immunology care across communities - and building teams that make that impact possible. Whether you’re in a clinical, operational, or corporate role, your work directly supports patients getting their lives, energy, and confidence back. If you’re motivated by meaningful work and want to be part of a mission you can feel, we’d love to meet you.
About You:
You’re energized by purpose-driven work and believe progress happens through accountability, collaboration, and integrity.
You take ownership of your work, care about doing things the right way, and bring a positive, people-first mindset to how you support teams. You advocate for better systems and decisions that ultimately improve patient care.
If you’re excited to do meaningful work that supports something bigger than yourself, we’d love to connect.

Summary of Position

The Credentialing Business Partner serves as a strategic liaison between credentialing operations, clinical leadership, and business functions. This role is responsible for ensuring providers are credentialed, enrolled, and maintained efficiently across payers while aligning credentialing processes with organizational growth, compliance, and revenue cycle performance.

This individual goes beyond transactional credentialing—acting as a proactive partner to operations, recruiting, and leadership to remove barriers, accelerate onboarding, and optimize provider readiness for patient care.

Additionally, the Credentialing Business Partner will partner with our Payor Contracting team to ensure alignment and support growth opportunities.

Key Responsibilities

Credentialing & Enrollment Operations

  • Oversee end-to-end credentialing and payer enrollment for providers across all markets
  • Ensure timely submission, tracking, and completion of initial credentialing and recredentialing applications
  • Maintain accuracy and completeness of provider data in credentialing systems (e.g., CAQH, internal databases)
  • Monitor credentialing timelines and proactively escalate risks to provider start dates or revenue capture
  • Support payor contracting vendor

Business Partnership & Stakeholder Alignment

  • Partner with Operations, Recruiting, Legal, and Revenue Cycle teams to support provider onboarding and readiness
  • Serve as the primary credentialing point of contact for assigned regions or provider groups
  • Provide visibility into credentialing status, risks, and timelines to leadership
  • Collaborate on process improvements that enhance speed, transparency, and provider experience

Process Optimization & Performance

  • Identify bottlenecks and implement process improvements to reduce credentialing cycle times
  • Develop and track key performance indicators (KPIs) such as time-to-credential, payer turnaround, and enrollment success rates
  • Standardize workflows and documentation practices across markets
  • Support implementation and optimization of credentialing systems and tools

Compliance & Risk Management

  • Ensure compliance with payer, regulatory, and accreditation requirements (e.g., NCQA, CMS)
  • Maintain audit-ready documentation and support internal/external audits
  • Monitor expiring licenses, certifications, and payer enrollments to prevent disruptions

Growth & Strategic Initiatives

  • Support new market launches, acquisitions, and provider expansions by coordinating credentialing strategy and timelines
  • Partner with leadership on scaling credentialing infrastructure to meet organizational growth
  • Contribute to cross-functional initiatives that improve provider onboarding and revenue cycle performance

Qualifications

Required

  • 3–5+ years of experience in provider credentialing and payer enrollment
  • Strong knowledge of commercial and government payer credentialing processes
  • Experience working cross-functionally with operations, recruiting, and/or revenue cycle team
  • Proven ability to manage multiple providers and timelines simultaneously
  • High attention to detail and strong organizational skills

Preferred

  • Experience in multi-site healthcare organizations or high-growth environments
  • Familiarity with credentialing platforms (e.g., CAQH, PECOS, or similar systems)
  • Knowledge of NCQA, CMS, and payer-specific requirements
  • Experience driving process improvement or operational efficiency initiatives

Core Competencies

  • Business Partnership Mindset – Thinks beyond tasks to understand operational impact
  • Ownership & Accountability – Drives outcomes and follows through on commitments
  • Communication & Influence – Clearly communicates status, risks, and solutions
  • Problem Solving – Identifies issues early and develops practical solutions
  • Execution Excellence – Balances speed with accuracy in a high-volume environment

Success in This Role Looks Like

  • Providers are credentialed and enrolled on time with minimal delays to start dates
  • Leadership has clear visibility into credentialing status and risks
  • Credentialing cycle times improve over time
  • Processes are scalable and support organizational growth
  • Strong trust and partnership across clinical and operational teams
Why Join AllerVie?
When you join AllerVie Health, you become part of a purpose-driven team dedicated to transforming lives through compassionate allergy care. We recognize and value the experience, perspective, and commitment you bring to our mission. In return, we offer competitive compensation and comprehensive benefits that empower you to thrive. This support enables you to give your best to the patients who count on us every day.


Benefits:

  • Medical, Dental, and Vision Insurance Plans
  • Employer HSA contribution
  • Employer-Paid Life Insurance
  • Supplemental benefit offerings
  • 401(k) Plan with employer match
  • Generous PTO and paid holidays
Learn About Us:

AllerVie Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.


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