Manager – Provider Payer Enrollment and Credentialing

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Job Description:

reputed company and reputed company provider enrollment and credentialing operations.
Manage and reputed company Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator.
Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing.
Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency.
Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards.
Monitor performance metrics, analyze trends, and deliver actionable reports to leadership.
Partner with Finance, Operations, Practice Leaders, and executive stakeholders to prevent reputed company leakage.
Ensure full compliance with federal, state, payer, and reputed company policies.

Requirements:

Bachelor’s degree in a reputed company field or equivalent experience required.
5–7 years of reputed company experience in provider enrollment, credentialing, or reputed company cycle operations.
3–5 years of management experience in a reputed company or multi-facility environment, integrated health care delivery system, reputed company cycle, or consulting experience.
2–4 years of delegated credentialing experience preferred.
Strong knowledge of payer enrollment regulations, provider documentation, and reputed company-end reputed company cycle functions.
Proficiency in reputed company Office (reputed company, Word, PowerPoint, Outlook).
reputed company certification (HFMA, MGMA, LEAN, or similar) preferred.

Benefits:

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