9,498 credentialing manager jobs at 3,777 companies in United States
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Credentialing Manager
Northbrook, Illinois, United States
$75k-$95k/yrOnsiteFull Time
USA Clinics Group: Operates a national network of outpatient medical specialty clinics.
5+ YOE5+ years provider credentialing and payer enrollment experience; knowledge of CAQH, Medicare/Medicaid, commercial payer enrollment and licensing; proficiency with credentialing software and reporting; experience managing workflows and onboarding timelines.
SKYGEN: Provides software and services for dental and vision benefits administration.
3+ YOE3+ Mgmt3-5 years credentialing management experience; associate degree; strong data organization, leadership, and MS Office skills; experience with NCQA standards and credentialing processes; dental/commercial experience preferred.
Better Health Group: Delivers senior-focused primary care through a value-based model.
5+ YOEOversee daily credentialing operations; 5+ years in operations management; bachelor's in business or healthcare administration; strong leadership, communication, and data analysis skills.
Sleep Doctor: Provides sleep health education and direct-to-consumer sleep care solutions.
6+ YOE1+ Mgmt6+ years healthcare credentialing experience, 1+ year supervisory experience, CPCS or CPMSM required, mastery of CAQH and PECOS, familiarity with credentialing/enrollment processes and audits.
Serenity Mental Health Centers: Providing advanced psychiatric treatments including TMS and ketamine therapy.
3+ YOEBachelor's in healthcare administration or equivalent experience; 3+ years credentialing experience (behavioral health preferred); knowledge of regulatory requirements and credentialing databases; strong organization and communication skills.
United Surgical Partners InternationalNYSE: THC: Operates a network of ambulatory surgery centers.
1+ YOECollege degree (bachelor's preferred), 1-2 years medical credentialing experience, strong computer/Excel skills, knowledge of credentialing standards and software, confidentiality and communication skills.
Behavior Frontiers: Providing applied behavior analysis therapy for children with autism.
3+ YOE3-5 years credentialing experience in Behavior Health; NCQA knowledge; relationship management with funding sources; self-directed; detail oriented; bachelor’s degree; able to pass background checks.
Charlie Health: Provides virtual intensive outpatient programs and mental health therapy services.
5+ YOEBachelor's degree, 5+ years provider credentialing/health plan enrollment experience with delegated credentialing ownership required; Medicaid and Commercial payor experience, familiarity with NCQA standards, Salesforce, automation/AI, and strong cross-functional collaboration.
Lone Peak Dental Group: Provides management support to pediatric and specialty dental clinics.
5+ YOE3+ MgmtLead credentialing and provider enrollment across multiple locations; require 5+ years credentialing experience, 3+ years people management, dental Medicaid expertise, CAQH/NPPES knowledge, and bachelor's or equivalent.
BlueCross BlueShield of South Carolina: Provides health insurance and healthcare administrative services.
5+ YOE2+ MgmtBachelor's in a job-related field, 5 years healthcare experience including provider network/credentialing or related areas with 2 years supervisory experience; knowledge of NCQA and JCAHO standards and medical terminology.
Better Health Group: Value-based primary care network for senior populations.
5+ YOEBachelor's in business/healthcare,5+ years operations management,leadership skills,Google Suite and Microsoft Office proficiency,ability to handle confidential data and manage cross-functional teams.
Better Health Group: Value-based primary care network for senior patients.
5+ YOEBachelor's degree in business administration or healthcare administration; 5+ years in operations management; strong leadership and team-building; bilingual a plus; proficient in Google Suite and MS Office.
PDS Health: Provides business and administrative support services to dental practices.
4+ YOELead credentialing team, ensure NCQA/CMS and state compliance, manage credentialing/recredentialing/delegated processes, develop reporting, and coordinate onboarding; requires 4+ years related experience and bachelor's or equivalent.
Washington or Lanham or Holtsville or Fresno or Chamblee or Guaynabo or Ogden or Austin or Kansas City or Memphis
OnsiteFull Time
One Federal Solution: Provides professional and technical services to federal government agencies.
4+ YOEOversee credentialing operations, coordinate scheduling, manage credential issuance/activation, maintain inventory, and provide administrative and operational support; high school diploma or four years' related experience required; Microsoft Office proficiency.
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
8+ YOE8+ years healthcare credentialing experience, high school diploma (associate/bachelor preferred or may substitute for years), credentialing certification preferred, supervisory experience preferred, knowledge of NCQA and TJC requirements.
Assembly Health: Manages medical billing and administrative operations for healthcare organizations.
5+ YOE2+ Mgmt5+ years provider relations/credentialing/enrollment experience, 2+ years people management, bachelor\u0002s required, knowledge of payer enrollment and CAQH, strong communication, analytical and reporting skills.
Florida Medical Clinic Orlando Health: Multi-specialty medical network providing comprehensive outpatient healthcare services.
2+ YOEOversee initial credentialing and reappointment, manage credentialing team, ensure regulatory and accreditation compliance, CPCS or CPMSM required within 2 years, bachelor's in healthcare admin or 8 years' credentialing experience, 2–5 years relevant experience.
Bienville Orthopaedic Specialists: Provides comprehensive orthopedic care and surgical services in Mississippi.
Managing provider credentialing and re-credentialing, submitting applications to payers/hospitals/ASCs, tracking licenses/DEA/board certifications, maintaining credentialing records, managing CAQH/PECOS/NPPES, and traveling to clinic locations as needed.