Credentialing Associate Manager

Job Summary

As a Credentialing Associate Manager, the full-time remote position will manage the operational excellence of the credentialing function, oversee daily performance, resolve provider issues, and ensure compliance with regulations while developing the capabilities of direct reports.

Key responsibilities

• Effectively assign and monitor daily tasks and workflows for direct reports to achieve results
• Investigate and resolve credentialing-related provider issues while collaborating with other departments
• Assist with NCQA Accreditation preparation and ensure adherence to internal SOPs and external policies

Required qualifications

• Minimum two years of experience in provider credentialing
• Minimum one year of experience with insurance credentialing
• Minimum two years of experience in a people leadership role
• Strong understanding of credentialing processes and CAQH in a behavioral health context
• Experience working within NCQA Standards