Credentialing Manager

About Our Client:
The organization operates in the mental healthcare sector, addressing the challenge of expanding access to quality therapy for over two million people. It focuses on delivering mental health services efficiently, aiming to reduce barriers to care through scalable operational models.
About the Opportunity:
The CREDENTIALING MANAGER role is critical for optimizing the credentialing processes that ensure compliance and quality within the provider network. This position leads a team to streamline workflows, manage credentialing operations, and coordinate re-credentialing efforts, directly impacting the organization's ability to maintain a qualified provider network and uphold regulatory standards.
Responsibilities:
Lead and manage Credentialing Interns, Associates, Specialists, and Supervisors, ensuring alignment with organizational goals.
Approve timesheets, mentor team members, and support operational success.
Streamline credentialing operational processes.
Assist in preparing and presenting credentialing packets for committees.
Coordinate with Credentialing Verification Organizations for accurate and timely credentialing.
Manage re-credentialing processes, including provider reviews and administrative terminations.
Support delegated credentialing agreements and client communications.
Conduct regular audits of credentialing processes for compliance and efficiency.
Oversee licensing reviews and ongoing monitoring compliance.
Collaborate on continuous process improvement and workflow optimization.
Perform related duties as assigned.
Requirements:
Bachelor’s degree required; Master’s preferred or 7+ years experience in credentialing or related field.
Minimum 4 years in credentialing, compliance, or healthcare operations with leadership experience.
Experience working with Credentialing Verification Organizations and delegated credentialing agreements.
Knowledge of NCQA standards and policy compliance.
Proven ability to manage teams, lead projects, and improve workflows.
Excellent communication and organizational skills.
Pay Range and Compensation Package:
The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

Work arrangement
Yes