Texas Credentialing Manager

A company is looking for a Managed Care Credentialing Manager. Key Responsibilities Manage the credentialing lifecycle for all lines of business, ensuring compliance with regulations and health plan requirements Oversee the credentialing team and monitor processes and procedures that support credentialing efforts Lead the development and implementation of data management tools and prepare monthly management reports related to credentialing activities Required Qualifications Bachelor's degree or equivalent work experience (7-10 years) 7-10 years of managed care provider experience in credentialing, network contracting, and/or provider relations Experience in supporting performance-based standards, processes, and metrics across a large organization Demonstrated understanding of ancillary services and contracts

Apr 4, 2025 - 01:00

A company is looking for a Managed Care Credentialing Manager. Key Responsibilities Manage the credentialing lifecycle for all lines of business, ensuring compliance with regulations and health plan requirements Oversee the credentialing team and monitor processes and procedures that support credentialing efforts Lead the development and implementation of data management tools and prepare monthly management reports related to credentialing activities Required Qualifications Bachelor's degree or equivalent work experience (7-10 years) 7-10 years of managed care provider experience in credentialing, network contracting, and/or provider relations Experience in supporting performance-based standards, processes, and metrics across a large organization Demonstrated understanding of ancillary services and contracts