Credentialing Manager | ABA • $80,000 - $85,000 Corporate Roles El Segundo, CA

Behavior Frontiers; El Segundo (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

DailyPay: On-Demand paychecks

401K Plan with company match

Paid Personal Time Off

Medical, Dental and Vision Insurance

Performance and promotion raises

Telehealth: medical services 24/7 for你

Telehealth Mental Health

Employee Assistance Program

Gym membership discounts

Exclusive discounts to 500+ companies

Travel discounts

Lab Testing Discounts

Rx discounts

Job summary

Behavior Frontiers is seeking a leader for the Credentialing Department to supervise daily operations, optimize workflow, and coach staff in credentialing, enrollment, and payer relations. You will monitor statuses, timelines, and queues to remove delays and escalate complex issues.

You will oversee credentialing, recredentialing, enrollment, and provider maintenance to ensure strict payer, regulatory, and organizational compliance, while maintaining data integrity across CAQH, NPI records, and

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Healthcare Management, or related field preferred; equivalent experience may be considered.
• 3–5 years of healthcare credentialing, provider enrollment, contracting, or related experience required.
• Leadership: Previous supervisory, lead, or management experience preferred.
• Multi-State Credentialing and provider enrollment experience strongly preferred.
• Payer knowledge with commercial insurance, Medicaid, Medicare, Tricare, and other funding sources preferred.
• Experience with CAQH, NPPES, PECOS, payer portals, and credentialing databases.
• Strong organizational, analytical, problem-solving, and project management skills.
• Time management: ability to manage multiple priorities, meet deadlines, and collaborate across departments.

Responsibilities

• Oversee credentialing, recredentialing, enrollment, and provider maintenance activities to ensure compliance with payer, regulatory, and organizational requirements.
• Ensure provider licenses, certifications, NPI records, and CAQH profiles are current.
• Manage departmental databases and tracking tools; conduct regular audits of provider files.
• Develop and maintain SOPs and policies while upholding confidentiality of PHI, employees, and operations.
• Surveil stakeholder collaboration with payer reps and regulatory agencies; support onboarding and roster maintenance.
• Contribute to strategic planning for market expansion, contract development, and new funding sources.

Skills

Organizational skills

Analytical skills

Problem-solving

Project management

Time management

Leadership

Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration, Business Administration, Healthcare Management, or related field

Tools

CAQH

NPPES

PECOS

Payer portals

Credentialing databases

Job description

As the leader of our Credentialing Department, you will supervise and manage daily operations, focusing on workflow distribution, prioritization, and employee development. You will actively monitor application statuses, processing timelines, and department work queues to quickly identify and resolve delays or barriers. In this capacity, you will serve as the primary escalation point for complex credentialing, enrollment, contracting, and payer-related issues. You will also drive team success through continuous training, performance management, and quality assurance initiatives.

Credentialing, Compliance & Data Integrity

You will oversee all credentialing, recredentialing, enrollment, and provider maintenance activities to ensure strict compliance with payer, regulatory, and organizational requirements. A core part of this role involves ensuring that provider licenses, certifications, NPI records, and CAQH profiles remain perfectly current. To maintain operational visibility and data integrity, you will manage departmental databases and tracking tools while conducting regular audits of provider files. You will also be responsible for developing and maintaining the department's standard operating procedures (SOPs) and policies, all while upholding strict confidentiality regarding protected health information, employees, and company operations.

Stakeholder Collaboration & Strategic Growth

Collaboration is essential in this role. You will build and maintain effective relationships with payer representatives and regulatory agencies, while partnering internally with Operations, Recruiting, HR, and Clinical Leadership to support seamless provider onboarding and location roster maintenance. As the organization grows, you will participate in strategic planning related to market expansion by supporting contract development initiatives, researching new funding sources, and staying highly informed on federal, state, and accreditation requirements. By tracking key department metrics, you will prepare reports for leadership and lead continuous process improvement initiatives to increase the department’s overall efficiency and scalability. You will also take on special projects and additional duties as assigned.

Requirements

Qualifications

• Education: Bachelor's degree in Healthcare Administration, Business Administration, Healthcare Management, or a related field preferred; equivalent experience may be considered.
• Experience: 3–5 years of healthcare credentialing, provider enrollment, contracting, or related experience required.
• Leadership: Previous supervisory, lead, or management experience preferred.
• Multi-State Expertise: Multi-state credentialing and provider enrollment experience strongly preferred.
• Payer Knowledge: Experience working with commercial insurance plans, Medicaid, Medicare, Tricare, and other funding sources preferred.
• Systems Proficiency: Experience with CAQH, NPPES, PECOS, payer portals, and credentialing databases.
• Core Competencies: Strong organizational, analytical, problem-solving, and project management skills.
• Time Management: Ability to manage multiple priorities, meet deadlines, and collaborate effectively across departments.

Why Behavior Frontiers is perfect for you:

• Competitive pay with optional On-Demand paychecks through DailyPay – get paid on your own schedule!
• 401K Plan with company match after 6 months of employment
• Paid Personal Time Off
• Medical, Dental and Vision Insurance
• Performance and promotion raises
• Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays
• Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays
• Employee Assistance Program: Free access to some support services (financial, legal, counseling etc.)
• Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos
• Deals: Exclusive discounts and savings to 500+ companies and more!
• Travel: Discounts of travel essentials including hotels, rental cars, flights, excursions and more!
• Lab Testing Discounts: 10-80% off costs of routine lab work
• New Benefits RX: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!

Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.