Manager, Provider Credentialing and Enrollment.

Manager, Provider Credentialing and Enrollment

Midwest Vision Partners (MVP)

General Job Purpose

The Manager, Provider Credentialing and Enrollment , is responsible for ensuring that all activities related to credentialing, provider enrollment, and payer relations are completed accurately and on time. This role is a key member of the Revenue Cycle Management team and collaborates closely with leadership and providers across Optical, Ophthalmology, and Surgical Centers.

The Manager oversees timely and accurate credentialing and provider enrollment processes for employed practitioners-including initial enrollment, re-enrollment, re-validations, terminations, and record updates. Additional responsibilities include supporting system-wide standardization, operational continuity, policy development, workflow creation, and audit processes related to Credentialing and Provider Enrollment.

About Midwest Vision Partners (MVP)

Midwest Vision Partners is dedicated to preserving and improving vision by supporting a network of top ophthalmologists and optometrists who deliver exceptional, patient-centered care. Founded in 2019 in partnership with Alpine Investors and headquartered in Chicago, MVP serves 70+ locations across five states with over 140 physicians and 1,500 employees.

What You Will Be Working On

Performance

Maintain strong relationships with payers and insurance plans

Stay up to date on regulatory requirements and industry changes

Serve as the subject matter expert on credentialing, enrollment, and payer requirements

Collaborate with operations to ensure all provider documentation is stored and organized

Partner with Regional Directors of Operations on provider enrollment status and revalidations

Prioritize and ensure timely provider onboarding with routine communication regarding progress, delays, and needs

Complete group and facility enrollments, reappointments, revalidations, and carrier-related requests

Maintain certificates of insurance for all providers and groups annually

Research and implement new state enrollment requirements or updates

Maintain CAQH profiles, including logins and passwords

Assist with monitoring and maintaining provider licensure

Communicate enrollment updates to ensure accurate scheduling and operational alignment

Leadership & Management

Lead and support the Credentialing / Provider Enrollment team

Develop and maintain standards and procedures for all applicable carriers

Conduct annual performance reviews

Hold regular 1 : 1 meetings with team members

Establish team cadence, processes, and expectations

Identify training needs and create development and education plans

Provide coaching, feedback, and performance support as needed

Participate in recruiting, interviewing, and onboarding new staff

Communication

Communicate clearly and effectively with all stakeholder groups to provide updates, resolve issues, and support operational and financial performance :

Physicians

Practice leadership (managers, physicians)

Internal teams

Third-party partners and vendors

What Will Make You Awesome

Strong working knowledge of provider credentialing and payer enrollment

Understanding of Revenue Cycle Management

Excellent verbal and written communication skills

Highly organized, dependable, and quality-focused

Self-directed, metrics-driven, and open to improving processes

Strong teamwork and collaboration skills across multiple groups

Experience developing strategies aligned with business goals

Proficiency with Microsoft Office (Outlook, Word, Excel, PowerPoint)

Experience with EMR and Practice Management systems a plus

High ethical and professional standards

What You Know

To succeed in this role, you should have :

Bachelor's degree in finance or a business-related field (preferred) or equivalent experience

5+ years of experience in healthcare or a related industry

3+ years of supervisory or managerial experience

What We Offer

MVP provides a competitive benefits package, including :

Medical, dental, and vision insurance

Optical benefits

401(k) with company match

Flexible Spending Accounts (FSA)

Employee Assistance Program (EAP)

Company-paid holidays, PTO, sick leave, and parental leave

Supplemental benefits : life, disability, AD&D, accident, critical illness, and more

About Alpine Investors

Alpine Investors is a private equity firm with offices in San Francisco, New York City, and Salt Lake City. With over $16 billion in assets under management and a strong performance record, Alpine focuses on its PeopleFirst philosophy-investing in exceptional individuals to build enduring companies and deliver market-leading results.

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