Manager – Provider Payer Enrollment and Credentialing
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Manager of Provider Enrollment & Credentialing overseeing efficient credentialing and onboarding processes for Trinity Health Medical Group. Partnering with multiple stakeholders to support revenue integrity and compliance.
Responsibilities:
- Lead and oversee provider enrollment and credentialing operations.
- Manage and develop Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator.
- Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing.
- Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency.
- Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards.
- Monitor performance metrics, analyze trends, and deliver actionable reports to leadership.
- Partner with Finance, Operations, Practice Leaders, and executive stakeholders to prevent revenue leakage.
- Ensure full compliance with federal, state, payer, and Trinity Health policies.
Requirements:
- Bachelor’s degree in a related field or equivalent experience required.
- 5–7 years of progressive experience in provider enrollment, credentialing, or revenue cycle operations.
- 3–5 years of management experience in a healthcare or multi-facility environment, integrated health care delivery system, revenue cycle, or consulting experience.
- 2–4 years of delegated credentialing experience preferred.
- Strong knowledge of payer enrollment regulations, provider documentation, and front-end revenue cycle functions.
- Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
- Healthcare certification (HFMA, MGMA, LEAN, or similar) preferred.
Benefits:
- Day shift
- Remote
- Great benefits effective day 1!
- Competitive pay
- Mission driven team environment
Similar Jobs
Associate Regional Business Manager
Entry-level Account Management role focusing on merchant onboarding and driving early program adoption for lease-to-own services.
Senior Research Manager, Qualitative
Senior Research Manager leading qualitative research projects for SMG. Collaborating with clients and teams to deliver actionable insights and improve experiences.
Strategic Programs Manager
Strategic Programs Manager at Trustwell driving cross-functional initiatives in a fast-paced tech environment. Enhancing food industry compliance with impactful solutions and software.
Regional Manager, EMS
Regional Manager overseeing EMS sales and territory managers in the Northwest US. Driving sales strategies and ensuring effective team performance within the ZOLL framework.
Construction Manager – Installation Lead
Construction Manager overseeing FAA’s Radar System Replacement program. Coordinating installation activities and ensuring safety compliance across various sites nationwide.
Test Manager
Test Manager at Gainwell focusing on automated tests and collaboration with developers for software quality. Ensuring reliability in healthcare solutions through effective testing and automation practices.
Manager, Key Accounts
Key Accounts Manager managing relationships and strategies for Scenic Group's key account agencies and consortia. Focused on driving sales performance and marketing collaboration to grow business.
Product Manager, Sales Region North/East or South/West
Product Manager responsible for developing partnerships and identifying growth potential in the German mortgage finance industry. Managing collaborations and supporting sales efforts with product-related expertise.
Gastroenterology Territory Business Manager
Gastroenterology Territory Business Manager driving sales strategy for innovative therapies in the UK. Achieving sales targets and collaborating with marketing and medical teams.
Senior Manager, Global Support
Senior Manager leading customer support transformation for Zapier with a focus on AI integration and team development. Managing a team of Technical Support Specialists with accountability for global support operations.
Manager, Personal Lines
Manager of Personal Lines at USAA coaching teams to provide innovative insurance solutions. Collaborating closely with stakeholders to enhance processes and drive member satisfaction.
Senior Manager, Trial Delivery Leader
Sr. Manager, Trial Delivery Leader overseeing operational execution of clinical trials in Belgium and the Netherlands. Leading cross-functional teams and ensuring compliance with health regulations while driving timelines and quality.
Senior Asset Manager
Senior Asset Manager managing projects, leading teams, and fostering customer relations at Spark Power. Overseeing contract management and project execution in the renewable energy sector.
Leiter, Bildungsinnovation
Lead innovation in educational strategies and technologies for improved learning processes in Germany. Oversee a diverse innovation team to develop and pilot educational solutions.
Head of Learning Strategy
Leiter:in Bildungsstrategie handling strategic education development and innovative projects for further education in Germany. Collaborating across departments to meet educational goals with a focus on new technologies.
Corporate Development Manager
Corporate Development Manager at Cherry Bekaert focusing on M&A strategies including detailed financial analyses and deal execution. Collaborating with leadership and cross-functional teams to achieve successful outcomes.
Bodily Injury Manager, Rideshare
Bodily Injury Claims Manager at Reserv managing rideshare bodily injury adjusters. Focusing on operational effectiveness and leveraging technology for improved claims handling.
APD Manager, Rideshare
Claims Manager managing rideshare claims for insurtech company focused on AI and automation. Leading a team to improve operational effectiveness and drive efficiencies in claims processing.
RN Care Manager – Complex Care & High Utilizer Management
RN Care Manager managing participants with complex needs and high utilization of healthcare services. Collaborating with providers to implement strategies for better chronic disease management.
Senior SOC and IR Manager
Sr. Manager for Security Operations & Incident Response leading the SOC and incident response program at Crane. Empowering teams and improving detection and response capabilities globally.