South Carolina Credentialing Manager

Job Summary

South Carolina Credentialing Manager is a full-time remote position responsible for managing provider credentialing activities, implementing process improvements, and ensuring compliance with regulatory standards.

Key Responsibilities

• Manage day-to-day operations of credentialing, including policy development and compliance monitoring
• Communicate with internal and external representatives regarding credentialing issues and coordinate activities for the credentialing committee
• Select, train, and develop staff while ensuring high-quality customer service and monitoring department performance

Required Qualifications

• Bachelor's degree in a job-related field
• 5 years of healthcare experience, including 2 years in a supervisory role or equivalent military experience
• Knowledge of NCQA and JCAHO credentialing standards
• Understanding of medical terminology
• Ability to work independently and prioritize effectively