Credentialing Manager- Mostly Remote

  • Job ref:


  • Location:

    Atlanta , United States

  • Sector:

    Accounting & Finance

  • Contact:

    Steve Whiting

  • Published:

    25 days ago

  • Consultant:


Our client is a market leader in the Healthcare industry, and they wish to hire a Credentialing Manager to supervise the daily operations of the credentialing function and provide guidance and performance feedback to staff.  This is Mostly REMOTE.

Essential duties will include: - 

  • Oversee the credentialing and re-credentialing process for assigned business units 

  • Oversee staff including performance management activities 

  • Serve as the subject matter expert for activities related to credentialing 

  • Investigate and resolve complex credentialing issues 

  • Be an active participant in departmental planning initiatives to improve quality, efficiency, and overall departmental effectiveness 

  • Provide training to team members to ensure accurate and timely and credentialing of providers 

  • Prepare materials and facilitate Credentialing Committee meetings 

  • Monitoring performance to ensure credentialing quality benchmarks are met 

  • Assist with and as needed, represent Credentialing during preparation and reviews associated with audit activity (e.g., NCQA, EQRO, Internal Audit) 

Job Requirements: - 

  • Bachelor’s Degree preferred 

  • 3+ years of combined management and provider data management, credentialing healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care environment 

  • Supervisory experience