Credentialing Operations Manager

Job Summary

A company is looking for a Credentialing Operations Manager to oversee payor enrollment processes and ensure operational efficiency.

Key Responsibilities

• Manage end-to-end payor enrollment processes for all clinics and providers
• Ensure compliance with application throughput and follow-up timelines across various states
• Lead training and quality assurance for the operations team, including managing offshore partners

Required Qualifications

• Bachelor's degree or equivalent relevant experience
• 5-8 years of experience in payor enrollment and credentialing within a multi-site healthcare organization
• In-depth knowledge of commercial, Medicare, and Medicaid enrollment workflows
• Experience managing high-volume application pipelines with measurable improvements
• Proficiency with credentialing software platforms and RCM tools