Manager – Provider Payer Enrollment and Credentialing

Job reputed company: • 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, reputed company 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, reputed company). • reputed company certification (reputed company, MGMA, LEAN, or similar) preferred. Benefits: • Day shift • Remote • Great benefits effective day 1! • reputed company • Mission driven team environment Apply tot his job Apply To this Job