Key skills
CommunicationTime Management
About this role
Role Overview
- Lead and manage the Managed Care Credentialing Team
- Ensure full compliance with policies, regulations, and accreditation standards
- Serve as the main contact with managed care organizations
- Verify requirements, submission processes, and updates
- Ensure accurate, timely completion and submission of all credentialing and re-credentialing applications
- Coordinate with Legal, Licensing, Accounts Receivable, and Payor Admin to gather required documentation
- Maintain a comprehensive database of credentialing documents
- Professionally represent the organization to managed care plans and partners
- Support special contracting projects as assigned
- Perform additional job-related tasks as needed
Requirements
- 3+ years managing credentialing staff or healthcare administration experience
- Strong organizational skills, attention to detail, and professionalism
- Ability to maintain strict confidentiality and demonstrate integrity
- Strong written and verbal communication skills
- Self-motivated, team-oriented, and able to follow through on delegated tasks
- Strong problem-solving skills and accountability
- Proficiency in MS Office (Excel, Word, Outlook, PowerPoint, SharePoint, Smartsheet) and Adobe PDF
- Knowledge of credentialing practices and excellent time management
Benefits
- competitive Total Rewards Package
- medical, dental, and vision plans
- retirement savings opportunities through a 401(k) plan with company match
- free e-courses through our Learning Management System
- training sessions and seminars