Credentialing Manager

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $75k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Assembly Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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

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