Credentialing Manager: AI-Powered Enrollment Lead

Fay Nutrition; New York (NY); On-site; USD 60,000 - 120,000; Full time

Job summary

Fay Nutrition in New York, NY is seeking a Credentialing Manager to lead our credentialing and enrollment work for the dietitian network. This hands-on, manager-level role focuses on coordinating contractors and vendors, ensuring accurate submissions, and driving turnaround.

This contract role has strong potential to convert to full-time. You will own SOPs, track applications, and partner with the credentialing and RCM teams to prevent bottlenecks and support fast provider go-lives.

Qualifications

• Hands-on experience with provider credentialing and enrollment (CAQH, license verification, submission, tracking).
• Strong Excel/spreadsheet skills with formulas, filtering, pivot tables, and large trackers.

Responsibilities

• Execute provider enrollment and credentialing applications across a defined set of payers — CAQH ProView, primary source verification, payer portal submissions, and follow-up.
• Track application status and turnaround times, flagging delays or missing documentation before they become bottlenecks.
• Maintain clean, accurate tracking in spreadsheets/dashboards — status logs, SLA trackers, denial/resubmission tracking — and keep data current and error-free.
• Troubleshoot issues as they come up — missing NPI data, license discrepancies, payer portal quirks, rejected applications — and drive them to resolution.
• Use AI tools to speed up repetitive or research-heavy work (e.g., drafting follow-up communications, summarizing payer requirements, organizing data) where it makes sense.
• Partner with the credentialing and RCM teams to make sure enrollment status is understood downstream and doesn’t hold up billing or provider go-live.

Skills

Credentialing

Payer portals

Excel

Process improvement

Attention to detail

Tools

CAQH ProView

Job description

Fay Nutrition in New York, NY is seeking a Credentialing Manager to lead our credentialing and enrollment work for the dietitian network. This hands-on, manager-level role focuses on coordinating contractors and vendors, ensuring accurate submissions, and driving turnaround.

This contract role has strong potential to convert to full-time. You will own SOPs, track applications, and partner with the credentialing and RCM teams to prevent bottlenecks and support fast provider go-lives.