Credentialing Team Manager | Remote | USA
Core
Oversee healthcare provider credentialing workflows, ensure regulatory compliance, and manage a team of credentialing specialists.
Role type
Senior IC credentialing supervisor
Builds
Provider credentialing and compliance programs
Domain
Healthcare administration
Required skills
Medical coding (CPC/COC/CCS/CCS-P), team leadership, regulatory compliance, data analysis, root cause analysis, process improvement
Preferred skills
MS Office proficiency, stakeholder management, staff development
Technologies
MS Office (Word, Excel, PPT)
Responsibilities
Develop credentialing strategies based on data analysis; oversee quality and compliance standards; coach and manage credentialing staff; monitor workflows and application queues; resolve verification issues with providers and payers; drive turnaround time improvements; perform root cause analysis on defects.
Seniority
Senior, hands-on IC with leadership responsibilities