Credentialing & Provider Enrollment Manager

Neolytix; Gurugram District; On-site; INR 800,000 - 1,200,000; Full time

Benefits offered by this job

Collaborative office environment

Opportunity to lead and build teams

Mission-driven culture

Job summary

Neolytix is seeking a Credentialing & Provider Enrollment Manager to lead credentialing operations for US healthcare clients. This role involves managing provider credentialing, overseeing enrollment with Medicare and Medicaid, and mentoring a team of specialists.

The ideal candidate will possess at least 7 years of relevant experience and a strong understanding of the US healthcare payer landscape. Join us in a collaborative environment in Gurugram where you can lead high-performing teams and drive impactful results.

Qualifications

• Minimum 7 years in Credentialing & Provider Enrollment.
• Prior team management experience preferred.

Responsibilities

• Manage end-to-end provider credentialing and re-credentialing.
• Oversee provider enrollment with Medicare, Medicaid, and commercial payers.
• Ensure all credentialing files and applications are compliant.
• Lead and mentor a team of credentialing specialists.
• Liaise with US clients for updates and escalations.
• Track enrollment timelines and implement process improvements.
• Maintain knowledge of payer-specific requirements.
• Generate reports for leadership review.

Skills

Understanding of US healthcare payer landscape

Experience with CAQH, PECOS, Availity

Client communication skills

Detail-oriented with multitasking ability

Proficiency in MS Excel / Google Sheets

Education

Graduate in any stream

Job description

Job Title: Credentialing & Provider Enrollment Manager

Company: Neolytix

Location: Gurugram, Haryana (Work from Office)

Employment Type: Full-Time

Notice Period: Immediate to 30 Days Preferred

About Neolytix

Neolytix is a tech-enabled healthcare operations company delivering smarter RCM, credentialing, and practice management solutions to providers across the US. We believe in Smarter Operations, Better Healthcare — and we build teams that live that mission every day.

Role Overview

We are looking for an experienced Credentialing & Provider Enrollment Manager to lead and oversee end-to-end credentialing operations for our US healthcare clients. This is a hands‑on leadership role for someone who takes ownership, drives accuracy, and knows the credentialing landscape inside out.

Key Responsibilities

• Manage end-to-end provider credentialing and re-credentialing with hospitals, payers, and insurance networks
• Oversee provider enrollment with Medicare, Medicaid, and commercial payers
• Ensure all credentialing files, CAQH profiles, and payer applications are up to date and compliant
• Lead and mentor a team of credentialing specialists, setting clear goals and SLAs
• Liaise directly with US-based clients to provide timely updates and resolve escalations
• Track enrollment timelines, identify bottlenecks, and implement process improvements
• Maintain working knowledge of payer-specific requirements, deadlines, and documentation standards
• Generate reports and dashboards for leadership review on credentialing TAT and payer status

What We're Looking For

• Education: Graduate in any stream
• Experience: Minimum 7 years in Credentialing & Provider Enrollment
• RCM Knowledge: Preferred
• Leadership: Prior team management experience preferred
• Notice Period: Immediate to 30 days
• Work Mode: Work from Office – Gurugram

Skills & Competencies

• Strong understanding of US healthcare payer landscape and credentialing workflows
• Hands‑on experience with CAQH, PECOS, Availity, or similar platforms
• Excellent client communication and stakeholder management skills
• Detail-oriented with ability to manage multiple providers and deadlines simultaneously
• Proficiency in MS Excel / Google Sheets for reporting and tracking

Why Neolytix

• Work with a growing, people-first healthcare operations company
• Collaborative office environment in Gurugram
• Opportunity to lead and build high-performing teams
• Be part of a mission-driven culture — Integrity. Transparency. Commitment. Innovation