Credentialing & Enrollment Manager
Tasks
- Collaborate with hospital medical staff offices
- Develop credentialing policies and procedures
- Ensure credentials and licenses are compliant
- Generate credentialing status and compliance reports
- Implement credentialing workflows and tools
- Maintain credentialing files per NCQA and URAC
- Maintain provider rosters and update payers
- Manage and track provider licensure across multiple states
- Manage provider credentialing and recredentialing
- Manage provider hospital privileges
- Oversee hospital and facility credentialing
- Prepare and submit credentialing applications
- Support new state license applications
- Track credentialing application status
Perks/Benefits
- Continuing education days
- Dental insurance
- Discount program
- Employee assistance program
- Employer 401k match
- Health insurance
- Life insurance
- Long-term disability
- Paid Holidays
- Paid time off
- Paid volunteer days
- Short-term disability
- Student Loan Interest Rate Discount
- Vision insurance
Skills/Tech-stack
CAQH | Credentialing | Credentialing Databases | DEA Registration | Enrollment | Health Plan Provider Enrollment | Healthcare Compliance | Medical Licensure | NCQA | Payer Portals | Provider credentialing | Provider enrollment | URAC
Education
N/A
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