Credentialing Lead

About Luna Joy

Luna Joy is a leading provider of mental health services, specializing in supporting women through their mental wellness journey. We offer holistic therapy and medication management to help women overcome challenges like postpartum mental health issues. Our dedicated team of professionals works in a collaborative, flexible, and remote environment, ensuring comprehensive care for our clients. We are rapidly expanding and committed to improving access to quality mental health services across the U.S.

Job Title : Credentialing Lead

Department : Clinical Operations

Reports to : Head of Clinical Operations

Job Overview

We are looking for a Credentialing Lead to join our growing team. As the Credentialing Lead, you will be responsible for overseeing and executing end-to-end provider credentialing and re-credentialing processes across multiple payers and states. You will ensure compliance with regulatory requirements, payer standards, and internal SLAs while supporting operational scalability as LunaJoy continues to grow. You will work closely with clinicians, payer representatives, operations, and clinical leadership to ensure providers are credentialed efficiently and accurately, enabling timely access to care for our patients. This role requires strong attention to detail, ownership, and the ability to improve processes in a fast-paced, mission-driven environment. As part of the LunaJoy team, you will play an essential role in directly contributing to support the mental health journey of one million women with purpose-driven innovation, unwavering compassion, and transformative care. You will need speed to adapt quickly and efficiently, and the drive to be 1% better every day, constantly striving for improvement. Additionally, you will demonstrate compassion and contribute to a positive work environment by giving and getting joy in your daily interactions.

Key Responsibilities

• Manage end-to-end provider credentialing and re-credentialing across payers and states.
• Oversee payer enrollments (commercial, Medicaid, Medicare) and ensure timely approvals.
• Maintain and update CAQH, licenses, NPIs, DEA, and insurance records.
• Act as the main point of contact for payer communications and follow-ups.
• Track credentialing progress, meet SLAs, and resolve issues or delays.
• Ensure compliance with NCQA, CMS, and payer requirements.
• Support provider onboarding in partnership with Clinical and Operations teams.
• Improve and document credentialing processes and SOPs.
• Audit records, support audits, and report on credentialing metrics.

Qualifications

Nice To Haves

Soft Skills

Why Luna Joy?

Compensation & Benefits

Inclusion Statement

At Luna Joy, we are committed to fostering a diverse, inclusive, and equitable workplace where all team members feel valued and respected. We believe that diversity of backgrounds, experiences, and perspectives strengthens our ability to support women’s mental health. We encourage individuals from all backgrounds, including those from historically underrepresented groups, to apply and join us in creating a positive impact in our communities. Everyone is welcome at Luna Joy, and we are dedicated to building a work environment where you can thrive and bring your whole self to work.

#J-18808-Ljbffr