This role is responsible for managing all aspects of provider credentialing, enrollment, and licensure across multiple states and healthcare networks
Job Summary
This role is responsible for managing all aspects of provider credentialing, enrollment, and licensure across multiple states and healthcare networks.
You will ensure that clinical staff are fully authorized to provide care by maintaining compliance with federal, state, and payer requirements.
The position oversees relationships with commercial payers, Medicaid, Medicare, hospital partners, and regulatory bodies, driving timely and accurate credentialing processes.
Matching Summary
This role is responsible for managing all aspects of provider credentialing, enrollment, and licensure across multiple states and healthcare networks.
Skills & Requirements
Must-have
Manage provider credentialing and enrollment
Ensure compliance with payer requirements
Oversee payer and hospital relationships
Develop and refine credentialing workflows
Report on credentialing status and risks
Nice-to-have
Collaborative patient-focused environment
Navigate complex multi-state compliance
Detail-oriented healthcare administration
Key Requirements
Multi-state compliance experience
Experience with healthcare networks
Experience with commercial payers, Medicaid, Medicare