Credentialing Manager

Harris Novum

Managing credentialing professionals
Ensuring compliance with policies
Managing health plan enrollments
The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing policies and procedures

Job Summary

  • The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing policies and procedures.
  • This individual will oversee the initial and ongoing application process for all clinicians and is responsible for maintaining the organization’s credentialing databases and online systems.
  • Responsibilities include maintaining up-to-date credential files, managing all health plan enrollments and reappointments, and managing all initial and ongoing applications for new clients.

Matching Summary

The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing policies and procedures.

Skills & Requirements

Must-have

  • managing credentialing professionals
  • ensuring compliance with policies
  • managing health plan enrollments
  • maintaining credentialing databases

Nice-to-have

  • strong organizational skills
  • attention to detail
  • effective communication

Key Requirements

  • Experience managing credentialing processes
  • Knowledge of health plan requirements
  • Familiarity with regulatory agencies

Work Rights

Not specified

Tailored Resume

Cover Letter