Credentialing Manager

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full-time

Posted on:

Location Type: Hybrid

Location: United States

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Salary

💰 $90,052 - $157,591 per year

About the role

  • Manage all provider credentialing and recredentialing processes
  • Collaborate with provider partners and internal customers
  • Supervise and provide guidance to assigned staff
  • Develop annual budgets
  • Utilize lean methodologies for continuous improvement
  • Maintain open communication with practitioners regarding credentialing

Requirements

  • Minimum of five years health insurance experience
  • At least three years credentialing experience
  • Three years of experience managing teams in a health care environment
  • High school or equivalent required; bachelor's degree preferred
  • Knowledge of healthcare delivery, NCQA and HIPAA
  • Proficient in Word, Excel, Databases and credentialing software programs
Benefits
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
credentialingrecredentialingbudget developmentlean methodologieshealth insurance experienceteam managementhealthcare deliveryNCQAHIPAAcredentialing software
Soft Skills
collaborationsupervisionguidancecommunicationcontinuous improvement
Certifications
bachelor's degree