Manager, Provider Credentialing & Payer Enrollment

Tasks

• Coordinate information with payers and networks
• Create credentialing statistics
• Ensure health plan compliance
• Ensure timely provider renewals
• Lead special payer requirement projects
• Maintain credentialing database accuracy
• Maintain credentialing tracker accuracy
• Manage Fresh Service ticket updates
• Manage Verity credentialing updates
• Manage credentialing committee processes
• Manage provider privileging
• Manage recredentialing processes
• Manage team hiring training onboarding
• Oversee payer enrollment
• Oversee provider credentialing
• Prepare management reports
• Serve as payer credentialing SME
• Update CAQH records

Perks/Benefits

• 401k plan
• Accident insurance
• Critical illness coverage
• Dental coverage
• Employee assistance program
• Employee discounts
• Floating holidays
• Health coverage
• Identity theft protection
• Life insurance
• Long-term disability
• Paid Holidays
• Paid time off
• Referral bonus
• Short-term disability
• Vision coverage
• Wellness plans

Skills/Tech-stack

CAQH | Credentialing | Managed care | Medicaid | Medicare | NCQA | Payer enrollment | UHC | Verity