Manager of Credentialing Operations

A company is looking for a Manager of Credentialing and Payor Operations. Key Responsibilities Build a credentialing program that meets NCQA requirements Manage and improve licensing, credentialing, and payor enrollment operations for efficiency and compliance Collaborate with internal stakeholders to enhance credentialing workflows and provider onboarding experience Required Qualifications Minimum 5 years' experience in healthcare operations, credentialing, and/or payor enrollment Experience building a credentialing program that meets payor standards is preferred Leadership or process ownership experience in credentialing and enrollment Strong operational expertise with a track record of optimizing workflows Familiarity with payor enrollment processes and compliance regulations

Apr 24, 2025 - 16:43

A company is looking for a Manager of Credentialing and Payor Operations. Key Responsibilities Build a credentialing program that meets NCQA requirements Manage and improve licensing, credentialing, and payor enrollment operations for efficiency and compliance Collaborate with internal stakeholders to enhance credentialing workflows and provider onboarding experience Required Qualifications Minimum 5 years' experience in healthcare operations, credentialing, and/or payor enrollment Experience building a credentialing program that meets payor standards is preferred Leadership or process ownership experience in credentialing and enrollment Strong operational expertise with a track record of optimizing workflows Familiarity with payor enrollment processes and compliance regulations