Credentialing Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

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Icon Health is a value-based musculoskeletal (MSK) and orthopedic care company that partners with health plans, value-based care organizations, providers, and patients to deliver full-risk, end-to-end orthopedic services. It combines virtual and in-person access to orthopedic clinicians, a national network of aligned providers and facilities, and AI-powered predictive outreach and data-driven provider-efficiency scoring to lower orthopedic spend, improve outcomes (including HEDIS performance), and accelerate patient recovery.

📋 Description

• Manage the end-to-end curation and submission of provider credentialing and enrollment applications • Network with, identify, and engage key decision-makers to appeal and navigate closed panels • Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance • Monitor license and certification expiration dates and initiate timely renewals • Collect and validate credentialing documents and assess qualifications against credentialing standards • Enter, update, and maintain provider application data in the credentialing database • Prepare, issue, track, and follow up on credentialing statuses for high-volume processing • Research updated state and federal regulations and policies • Ensure facilities and staff maintain compliance with regulatory and accrediting institutions • Participate in developing and implementing system-wide credentialing process improvements

🎯 Requirements

• High school diploma required • Associate’s or bachelor’s degree in healthcare administration or a related field preferred • 3–5 years of experience in credentialing or provider enrollment • Experience with multi-state, multi-payer hybrid (telehealth and in-person) environments required • Ability to navigate closed panels and anticipate potential roadblocks • Certified Provider Credentialing Specialist (CPCS) is a strong plus • Proficiency in database management, Google Suite, and AI-assisted credentialing or license-monitoring tools • High attention to detail and strong organizational abilities • Effective communication skills • Strict adherence to data confidentiality • Knowledge of policies, laws, and procedures • Ability to work Monday–Friday, 8–4 or 9–5 in EST or CST • Authorization to work anywhere in the US without sponsorship

🏖️ Benefits

• Flexible scheduling options (to be discussed in interview) • Medical, dental, and vision benefits effective on Day 1 • Fully remote work arrangement

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