Credentialing Manager

🕒 Outubro 28

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $75.000 - $85.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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• Aberta há 14 dias.
• As vagas desta empresa costumam ser preenchidas em 35 dias.

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Assembly Health

SiteLinkedInTodas as Vagas

201 - 500 funcionários

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A Assembly Health é dedicada a elevar o desempenho financeiro de provedores de saúde por meio de soluções inovadoras de gestão do ciclo de receita e suporte administrativo. Sua equipe especializada e tecnologia otimizam processos, permitindo que as organizações de saúde se concentrem em oferecer um atendimento de qualidade aos pacientes. Com uma abordagem abrangente que inclui análises, consultoria de conformidade e serviços de pessoal, a Assembly Health atende uma ampla gama de especialidades médicas e comunidades de cuidados prolongados nos Estados Unidos.

Descrição

• Serve as the main point of contact for assigned clients, addressing inquiries and concerns proactively • Conduct regular client meetings to review provider enrollment and credentialing data, discuss challenges, and align on goals • Monitor and analyze KPIs including retention/turnover rate, credentialing turnaround time, Network Adequacy, and Net Promoter Score • Oversee provider enrollment, credentialing, and re-credentialing activities for accuracy, timeliness, and payer compliance • Track, report, and document enrollment status, payer communications, and provider data across systems • Act as the primary point of contact for complex provider, payer, or claims-related issues • Identify and implement process improvements to streamline workflows, reduce cycle times, and improve provider experience • Standardize SOPs, reporting structures, and quality controls across the Provider Relations function • Analyze trends, bottlenecks, and performance metrics to inform decision-making and continuous improvement • Support departmental strategy and scaling efforts as the organization grows nationally • Liaise with Revenue Cycle, Operations, Compliance, and Clinical Leadership • Provide executive-level updates and reporting to leadership on provider enrollment status, risks, and capacity planning • Ensure clear, professional communication with providers and external partners

🎯 Requisitos

• 5+ years of experience in provider relations, credentialing, enrollment, or healthcare operations • 2+ years of people management experience, including managing Team Leads or supervisors • 2+ years of account management or customer success experience, serving as primary point of contact for clients • Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows • Proven ability to lead teams, drive accountability, and implement scalable processes • Bachelor’s degree required • Degree in healthcare administration, business, or process improvement preferred • Exceptional organizational, analytical, and reporting skills • Strong communication skills with the ability to influence across levels and functions • Proficiency in Microsoft Office Suite and credentialing/enrollment databases • Ability to thrive in a fast-paced, high-growth environment with evolving priorities • Detail-oriented with strong problem-solving and decision-making capabilities

🏖️ Benefícios

• Company bonus programs for eligible employees • Medical insurance • Dental insurance • Vision insurance • 401(k) • Paid time off • Comprehensive benefits package

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