Credentialing Manager

Job Summary

Seeking an experienced Credentialing Manager to work remotely in a full-time capacity, responsible for managing client relationships, driving operational excellence in credentialing and provider enrollment, and serving as a liaison among providers, payers, and internal teams.

Key responsibilities

• Serve as the main point of contact for assigned clients, addressing inquiries and conducting regular meetings to review enrollment and credentialing data
• Oversee provider enrollment, credentialing, and re-credentialing activities, ensuring compliance and accurate documentation
• Identify and implement process improvements to enhance workflows and provider experience while supporting departmental strategy and scaling efforts

Required qualifications

• 5+ years of experience in provider relations, credentialing, enrollment, or healthcare operations
• 2+ years of people management experience, including managing Team Leads or supervisors
• Strong understanding of medical billing, payer enrollment, and healthcare workflows
• Bachelor's degree required; degree in healthcare administration, business, or process improvement preferred
• Proficiency in Microsoft Office Suite and credentialing/enrollment databases