Credentialing Account Manager

Assembly Health; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

Assembly Health is seeking a Credentialing Account Manager to lead client relationships and oversee credentialing and enrollment workflows. You will partner with providers, payers, and internal teams to drive process improvements and ensure compliance.

Reporting to the Director of Provider Relations, you will manage complex issues, monitor KPIs, and scale operations nationally in a fast-paced healthcare environment. Strong communication and analytical skills are essential.

Qualifications

• 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 in healthcare administration, business, or process improvement preferred.

Responsibilities

• Manage client relationships and serve as the main point of contact for assigned clients.
• Lead provider enrollment and credentialing activities to ensure accuracy and payer compliance.
• Monitor KPIs like retention, credentialing turnaround time, and NPS.
• Oversee enrollment status, payer communications, and provider data across systems.
• Identify and implement process improvements to streamline workflows and reduce cycle times.
• Collaborate with Revenue Cycle, Operations, Compliance, and Clinical Leadership.

Skills

Client relationship management

Account management

People management

Communication skills

Analytical skills

Microsoft Office Suite proficiency

Credentialing/enrollment knowledge

Education

Bachelor’s degree

Tools

Microsoft Office Suite

Credentialing/enrollment databases

CAQH profiles

Job description

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

We are seeking an experienced and strategic Credentialing Account Manager to lead and manage client relationships in regards to credentialing/provider enrollment. Reporting to the Director of Provider Relations, this role will be responsible for owning the client success roadmap, driving operational excellence across credentialing and enrollment workflows, and serving as a senior liaison between providers, payers, and internal stakeholders.

The Credentialing Account Manager will work closeley with client stakeholders to own customer communication, establish best practices, ensure compliance, and drive continuous improvement aligned with organizational growth. This role blends account management, process ownership, and strategic execution in a fast-paced healthcare services environment.

What You Will Do

• Client Relationship Management
• Serve as 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 key performance indicators (KPIs) such as retention/turnover rate, credentialing turnaround time, Network Adequacy, Net Promoter Score, etc.

Operational Oversight

• Oversee all provider enrollment, credentialing, and re-credentialing activities to ensure accuracy, timeliness, and payer compliance.
• Ensure effective tracking, reporting, and documentation of enrollment status, payer communications, and provider data across systems.
• Act as the primariy point of contact for complex provider, payer, or claims-related issues.
• Knowledge of CAQH profiles, payer applications, and internal databases

Process Improvement & Strategy

• 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 initiatives.
• Support departmental strategy and scaling efforts as the organization grows nationally.

Stakeholder Management

• Serve as a key liaison with internal teams including 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.

What It Takes To Join The Family

• 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.

Salary Range

• $70,000—$90,000 USD

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.