Credentialing Manager

assemblyhealth; United States; A distancia; USD 75.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical

Dental

Vision

401(k)

Paid time off

and more

Descripción de la vacante

Assembly Health is seeking a seasoned provider relations leader to serve as the primary point of contact for assigned clients and to oversee credentialing and enrollment workflows. You will conduct regular client meetings, monitor KPIs, coordinate with Revenue Cycle, Compliance, and Clinical Leadership, and drive continuous improvements to speed enrollments while maintaining payer compliance.

This role requires 5+ years in provider relations or healthcare operations, 2+ years of people

Formación

• 5+ years in provider relations, credentialing, enrollment, or healthcare operations.
• 2+ years of people management experience.
• 2+ years of account management or client-facing roles.
• Strong understanding of medical billing and payer enrollment.
• Bachelor’s degree in healthcare administration, business, or related field.

Responsabilidades

• Serve as main contact for assigned clients and address inquiries proactively.
• Conduct regular client meetings to review enrollment data and goals.
• Oversee provider enrollment, credentialing, and re-credentialing activities.
• Track and report enrollment status, payer communications, and provider data.
• Identify and implement process improvements to reduce cycle times.

Conocimientos

Provider relations

Credentialing

Enrollment

Healthcare operations

Team leadership

Educación

Bachelor's degree

Healthcare administration

Business

Process improvement

Herramientas

Microsoft Office

Credentialing databases

Descripción del empleo

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.

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 primary 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 Team

• 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

$75,000 - $85,000 USD

Benefits

We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

• medical
• dental
• vision
• 401(k)
• paid time off
• and more

All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.