Credentialing Manager

A company is looking for a Credentialing Manager to lead the credentialing, privileging, and payer enrollment functions for their Managed Service Organization.

Key Responsibilities

Oversee the full lifecycle of credentialing, re-credentialing, and payer enrollment for all providers

Manage complex and escalated credentialing cases while leading a credentialing team

Design and implement scalable credentialing workflows and monitor performance metrics

Required Qualifications

Bachelor's degree preferred; relevant experience may substitute

CPCS certification strongly preferred

Minimum three years of credentialing experience, including payer enrollment and privileging

Prior supervisory or team lead experience required

Strong knowledge of NCQA, CMS, and payer credentialing standards