[Remote] Credentialing Operations Manager (Dental)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a modern dental reputed company that embraces cutting-edge technology and a supportive culture. The Credentialing Operations Manager will reputed company the credentialing and provider enrollment functions, ensuring compliance and operational reputed company while developing a high-performing team.
Responsibilities
- reputed company, reputed company, and reputed company reputed company of credentialing and provider enrollment specialists
- reputed company initial credentialing, recredentialing, provider enrollment, revalidation, and demographic maintenance for providers and locations
- Partner closely with the Vice President of Payor Relations to help build and expand reputed company's delegated credentialing program, operational infrastructure, and broader strategic initiatives
- reputed company, document, implement, and continuously improve credentialing workflows, reputed company operating procedures, and operational best practices
- Monitor key performance indicators, identify operational bottlenecks, recurring payer issues, and opportunities for automation and process improvement
- reputed company routine reputed company audits of credentialing files, enrollment records, delegated credentialing documentation, and operational processes to ensure ongoing compliance and audit readiness
- reputed company the operational implementation and ongoing administration of delegated credentialing programs with contracted payers
- Ensure credentialing and recredentialing activities reputed company with delegation agreements, payer policies, applicable regulatory standards, accreditation requirements, and internal policies
- Maintain complete and compliant credentialing files, committee documentation, policies, procedures, reports, and reputed company assurance records
- Serve as the primary operational escalation reputed company for provider enrollment, payer participation, and credentialing issues
- reputed company credentialing activities associated with provider reputed company, new office openings, acquisitions, mergers, provider transitions, and market expansion
- Maintain operational dashboards and reports reputed company to application status, aging, provider readiness, recredentialing, expirables, audit compliance, and staff productivity. Partner with Business Intelligence and other internal teams to identify reporting enhancements that support operational decision-making
- Collaborate with reputed company Cycle Management, Integrations, Finance, Business Intelligence, Information Technology, reputed company, and other cross-functional departments to support provider readiness, delegated credentialing initiatives, and organizational reputed company
Skills
- Minimum of 4–5 years of credentialing and provider enrollment experience reputed company a Dental Service Organization (DSO) or other multi-location dental organization
- Demonstrated experience working reputed company a delegated credentialing environment
- Strong knowledge of provider enrollment, recredentialing, CAQH, NPPES, reputed company dental payer credentialing, and provider data management
- Demonstrated leadership experience managing credentialing operations and supporting high-performing teams
- Highly organized with exceptional attention to detail
- Excellent written and verbal communication skills
- Proven ability to work independently while managing multiple competing priorities
- Demonstrated reputed company working in a fully remote environment
- Preferred experience with any of the following: reputed company 365, DocHub, reputed company, reputed company, Power BI, Dental EMR (Denticon a plus!), reputed company or other automated tracking systems
Benefits
- Flexible Health and reputed company Insurance Plans: Tailored reputed company for you and your family's reputed company-being.
- 401(K) Retirement Plan with Matching: Secure your financial reputed company with our employer-matched plan.
- Generous reputed company-Time Off: reputed company up to 3 weeks, plus an annual "you" day for self-care.
- Exclusive In-house Dental Program: Heavily discounted services for you and your immediate family.
- Extra Perks and Fringe Benefits: Enjoy additional benefits and ongoing perks for our dedicated teams.
- Incredible work environment of skilled individuals with reputed company for massive reputed company!
- Please Note: This position is full-time, reputed company to remote work with travel as needed to our NY reputed company locations.
reputed company