Accreditation and Credentialing Manager

Job Summary

A company is looking for an Accreditation and Credentialing Manager to oversee compliance with industry and regulatory standards.

Key Responsibilities

• Oversee NCQA Accreditation management and ensure compliance with standards
• Supervise the maintenance of accurate provider data and documentation
• Manage provider credentialing and re-credentialing applications, ensuring timely follow-up

Required Qualifications

• Bachelor's Degree
• 5+ years of credentialing experience
• 3+ years of delegated credentialing experience
• Experience with the NCQA credentialing process
• Knowledge of provider credentialing and its impact on the revenue cycle