Associate Manager, Credentialing Operations
Core
Leads a team responsible for accurate and timely provider credentialing and re-credentialing to maintain network readiness.
Role type
Associate Manager, Credentialing Operations
Builds
Provider network readiness and compliance
Domain
Health Insurance / Healthcare Operations
Required skills
People management, Provider credentialing, Healthcare operations, Data analysis, Root-cause analysis, KPI tracking, Hiring and team development
Preferred skills
Excel/Google Sheets, JIRA, SQL, NCQA/CMS standards knowledge, Process improvement
Technologies
Excel, Google Sheets, JIRA, SQL
Responsibilities
Lead day-to-day credentialing operation including workload planning and queue management; Evaluate departmental performance by analyzing data and metrics; Collaborate with stakeholders for change management and risk mitigation; Conduct root-cause analysis on systemic issues; Maintain and communicate reporting on team KPIs; Hire and manage a team of colleagues
Seniority
Manager, hands-on leadership