Manager – Provider Payer Enrollment and Credentialing

Job Description: • Lead and oversee provider enrollment and credentialing operations. • Manage and develop Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator. • Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing. • Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency. • Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards. • Monitor performance metrics, analyze trends, and deliver actionable reports to leadership. • Partner with Finance, Operations, Practice Leaders, and executive stakeholders to prevent revenue leakage. • Ensure full compliance with federal, state, payer, and Trinity Health policies. Requirements: • Bachelor’s degree in a related field or equivalent experience required. • 5–7 years of progressive experience in provider enrollment, credentialing, or revenue cycle operations. • 3–5 years of management experience in a healthcare or multi-facility environment, integrated health care delivery system, revenue cycle, or consulting experience. • 2–4 years of delegated credentialing experience preferred. • Strong knowledge of payer enrollment regulations, provider documentation, and front-end revenue cycle functions. • Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). • Healthcare certification (HFMA, MGMA, LEAN, or similar) preferred. Benefits: • Day shift • Remote • Great benefits effective day 1! • Competitive pay • Mission driven team environment Apply tot his job Apply To this Job