Credentialing Manager

Icon Health; Miami Beach (FL); Remote; USD 52,000 - 72,000; Full time

Benefits offered by this job

Flexible scheduling

Medical benefits

Dental benefits

Vision benefits

Fully remote

Job summary

Icon Health is seeking a Credentialing Specialist to manage end-to-end credentialing and enrollment for providers. You will network with key decision-makers to appeal closed panels, review applications for completeness and compliance, and maintain data accuracy across systems.

The role requires 3–5 years in credentialing, familiarity with multi-state, multi-payer workflows, and strong attention to confidentiality. CPCS is a plus; full-time remote work option is available.

Qualifications

• 3-5 years of credentialing or provider enrollment experience.
• Experience with multi-state, multi-payer hybrid telehealth and in-person workflows.
• Certified Provider Credentialing Specialist (CPCS) is a strong plus.
• Attention to detail and data confidentiality.
• Knowledge of relevant policies, laws and procedures.

Responsibilities

• Manage end-to-end credentialing and enrollment applications for timely approvals.
• Network and engage decision-makers to appeal and navigate closed panels.
• Review credentialing applications for completeness and compliance.
• Monitor licenses and certifications; manage renewals to avoid issues.
• Enter and maintain provider data in credentialing systems.
• Track statuses and communicate updates per guidelines.
• Research updated state and federal regulations and policies.
• Ensure facility and staff compliance with accrediting bodies.
• Contribute to process improvements for the credentialing system.

Skills

Credentialing

Data entry

Regulatory knowledge

Google Suite

AI tools

Multistate enrollment

Education

High school diploma

Healthcare administration degree

Tools

Google Suite

AI-assisted credentialing tools

Job description

Who We Are

Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.

We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.

At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.

What You’ll Do:

• Manage the end-to-end curation and submittal of all provider credentialing and enrollment applications to ensure timely approvals.
• Proactively network, identify and engage key decision-makers to successfully appeal and navigate closed panels.
• Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and entity-specific regulations, guidelines, policies, and standards.
• Monitor expiration dates for licenses and certifications, launching timely renewals to prevent service or billing issues
• Collect and validate documents to ensure accuracy of all credentialing elements; assess completeness of information and qualifications relative to credentialing standards
• Enter, update, and maintain data from provider applications into credentialing database in accordance with internal policies and procedures.
• Prepare, issue, track, and follow-up on credentialing statuses for efficient, high-volume processing in accordance with applicable standards, established procedural guidelines, and strict timelines.
• Conduct research on updated state and federal regulations and policies
• Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
• Participate in the development and implementation of process improvements for the system-wide credentialing process;

What We’re Looking for:

We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact.

• High school diploma required; associates or bachelor's degree in healthcare administration or a related field is preferred
• 3-5 years of experience in credentialing or provider enrollment.
• Experienced with multi state, multi payer hybrid (telehealth and in person) A MUST
• Ability to think creatively to navigate closed panels and proactively anticipate any 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, strong organizational abilities, effective communication, and strict adherence to data confidentiality.
• Knowledgeable in policies, laws and procedures

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression.

Job Type: Full Time M-F 8-4 or 9-5 in EST or CST

Benefits:

• Flexible scheduling options (to be discussed in interview)
• Benefit package including medical, dental and vision effective on Day 1
• Work Location: Fully Remote