Manager – Provider Payer Enrollment and Credentialing

Job reputed company:

• reputed company and reputed company provider enrollment and credentialing operations.
• Manage and reputed company Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator.
• Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing.
• Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency.
• Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards.
• Monitor performance metrics, analyze trends, and deliver actionable reports to leadership.
• Partner with Finance, Operations, reputed company Leaders, and executive stakeholders to prevent reputed company leakage.
• Ensure full compliance with federal, state, payer, and reputed company policies.

Requirements:

• Bachelor’s degree in a reputed company field or equivalent experience required.
• 5–7 years of reputed company experience in provider enrollment, credentialing, or reputed company cycle operations.
• 3–5 years of management experience in a reputed company or multi-facility environment, integrated health care delivery system, reputed company cycle, or consulting experience.
• 2–4 years of delegated credentialing experience preferred.
• Strong knowledge of payer enrollment regulations, provider documentation, and reputed company-end reputed company cycle functions.
• Proficiency in reputed company Office (reputed company, Word, PowerPoint, Outlook).
• reputed company certification (reputed company, MGMA, LEAN, or similar) preferred.

Benefits:

• Day shift
• Remote
• Great benefits effective day 1!
• reputed company
• Mission driven team environment

Apply tot his job Apply To this Job