Senior Manager, Credentialing & Enrollment - Remote

Overview

This position is posted by Jobgether on behalf of Imagine Pediatrics. We are currently looking for a Senior Manager, Credentialing & Enrollment in United States.

In Short

• Lead and supervise credentialing staff, ensuring timely and accurate processing of provider licensure, Medicaid enrollment, and health plan credentialing requirements.
• Manage day-to-day credentialing operations including primary source verifications, provider expirables, credentialing file preparation, and compliance with delegated credentialing programs.
• Facilitate and present provider credentialing files to the Credentialing Committee for review and approval.
• Act as a liaison with state licensure boards, Medicaid agencies, and health plan credentialing teams to resolve application deficiencies.
• Monitor, analyze, and report on credentialing status, trends, and performance against SLAs.
• Develop departmental policies, workflows, and training materials to ensure operational efficiency and compliance.
• Oversee configuration, maintenance, and accuracy of the credentialing platform, including data integrity, reporting, and task management.

Requirements

• Strong operational oversight experience.
• Ability to manage a high-performing team.
• Skills to liaise effectively with external agencies and partners.
• Expertise in maintaining seamless provider onboarding.
• Knowledge of regulatory compliance standards.
• Experience in a healthcare environment.
• Strong analytical skills.

Benefits

• Opportunity to work in a mission-driven healthcare environment.
• Support for professional development and training.
• Flexible working arrangements.
• Comprehensive health benefits.
• Collaborative team culture.
• Impactful role in telehealth services.