Credentialing Manager

Job Summary

A company is looking for a Provider Credentialing Manager (Remote US East Coast Based).

Key Responsibilities

• Supervise and manage the credentialing team, optimizing workflows for onboarding new clinicians
• Oversee initial credentialing, re-credentialing, and ensure compliance with state and payer requirements
• Lead enrollment processes with Medicare and Medicaid, ensuring compliance with CMS requirements

Required Qualifications

• Minimum 5 years of experience in provider and/or payor credentialing, with at least 2 years in a supervisory role
• Demonstrated experience with Medicare and Medicaid credentialing and enrollment across multiple states
• Proficiency with CAQH ProView and knowledge of NCQA credentialing standards
• Strong understanding of credentialing workflows and payer enrollment processes
• Experience managing credentialing for large provider groups (100+ clinicians preferred)