Credentialing Manager

Vein Clinics of America, Inc.; Northbrook (IL); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Health

Dental

Vision

401k & Match

Paid time off

Job summary

Vein Clinics of America, Inc. is seeking a full-time Credentialing Manager in Northbrook, IL, to oversee credentialing activities and improve operational efficiency. Responsibilities include managing team performance, implementing automation, and ensuring compliance during the onboarding process.

The ideal candidate will have 5+ years of experience in provider credentialing, a relevant degree, and proficiency with credentialing software. Benefits include health, dental, vision, and a 401k match.

Qualifications

• Minimum 5 years of provider credentialing and payer enrollment experience.
• Strong knowledge of CAQH, Medicare, Medicaid, and commercial payer enrollment.
• Experience managing credentialing workflows and productivity metrics.

Responsibilities

• Manage day-to-day credentialing and payer enrollment operations.
• Develop and maintain operational reports and dashboards.
• Train and mentor credentialing staff for compliance.

Skills

Provider credentialing management

Payer enrollment knowledge

Team leadership

Workflow optimization

Automation proficiency

Education

Associate’s or Bachelor’s degree in Healthcare Administration or related field

Tools

Credentialing software

Reporting tools

Document management systems

Job description

Position Summary:

The Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization. This role focuses on improving efficiency, implementing automation, and ensuring timely provider onboarding and compliance.

Position Details:

• Location: Northbrook, IL
• Schedule: Full-time, Monday through Friday on-site.
• Compensation: $75,000 - $95,000

Key Responsibilities

• Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of provider applications and renewals.
• Monitor department productivity, application status, enrollment aging, and onboarding timelines.
• Develop and maintain operational reports, dashboards, and KPI tracking tools.
• Standardize credentialing processes, maintain SOPs, and identify opportunities to reduce delays and improve efficiency.
• Train, mentor, and support credentialing staff while ensuring adherence to payer and regulatory requirements.
• Coordinate escalations with payers, providers, and internal stakeholders to resolve enrollment issues.
• Serve as the operational partner to the Director by leading process improvements and executing department initiatives.

AI & Automation Responsibilities

• Automate provider status updates, enrollment tracking, and stakeholder communications.
• Implement automated alerts for expiring licenses, certifications, malpractice coverage, and payer renewals.
• Develop AI-assisted dashboards that monitor application progress, aging, and team productivity.
• Utilize automation tools to reduce manual document collection, tracking, and reporting activities.

Minimum Requirements

• Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred.
• Minimum 5 years of provider credentialing and payer enrollment experience.
• Strong knowledge of CAQH, Medicare, Medicaid, commercial payer enrollment, and provider licensing requirements.
• Experience managing credentialing workflows, productivity metrics, and provider onboarding timelines.
• Proficiency with credentialing software, reporting tools, and document management systems.

Benefits

• Health
• Dental
• Vision
• 401k & Match
• Paid time off