Provider Credentialing & Enrollment Manager

The Provider Credentialing and Enrollment Manager oversees the processing of applications and reapplications for providers, ensuring compliance with national accreditation standards and state and federal regulatory requirements. This role requires a subject matter expert in all state bylaws of the credentialing process and application management, specifically tailored for urgent care environments.

Requirements

• Minimum of five (5) years of progressively responsible operational or consulting experience in provider credentialing and enrollment in an outpatient setting
• Proven expertise in all state bylaws governing the credentialing process for urgent care or multi-site health systems.
• Knowledge and experience of the healthcare industry or medical financial operations
• Possess ability to identify patterns and conduct root cause analysis
• Maintain accurate and up-to-date provider credentialing information in the database
• Experience with CAQH (Council for Affordable Quality Healthcare) database and application process
• Strong attention to detail and organizational skills
• Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments

Benefits

• Generous Paid Time Off
• 401k Matching
• Health Insurance
• Retirement Plan