Credentialing Manager — Compliance & Enrollment Lead

Behavior Frontiers; El Segundo (CA); Sur place; USD 80 000 - 85 000; Plein temps

Avantages offerts par ce poste

401K Plan with company match

Paid Personal Time Off

Paid Holidays

Medical, Dental and Vision Insurance

Performance and promotion raises

Telehealth services

Employee Assistance Program

Gym/fitness perks

Discounts and savings

Résumé du poste

Behavior Frontiers in El Segundo, CA, seeks a Credentialing Department Leader to supervise daily operations, oversee credentialing, enrollment, and provider maintenance, and ensure compliance with payers and regulators. You will drive efficiency, training, and quality assurance within a growing healthcare organization.

The role requires multi-state credentialing experience, strong leadership, and the ability to manage complex workflows while maintaining data integrity and strict confidentiality.

Qualifications

• Bachelor's degree in Healthcare Administration or related field preferred; equivalent experience may be considered.
• 3–5 years of healthcare credentialing, provider enrollment, contracting, or related experience
• Previous supervisory or management experience preferred
• Multi-state credentialing and provider enrollment experience strongly preferred
• Experience with CAQH, NPPES, PECOS, payer portals, and credentialing databases
• Strong organizational, analytical, problem-solving, and project management skills
• Ability to manage multiple priorities, meet deadlines, and collaborate across departments

Responsabilités

• Lead the Credentialing Department, supervise daily operations, and manage workflow distribution.
• Oversee credentialing, enrollment, and provider maintenance for compliance with payer, regulatory, and organizational requirements.
• Monitor application statuses, processing timelines, and department data; audit provider files for accuracy.
• Collaborate with internal teams and external payers/regulators; support strategic growth and process improvements.

Connaissances

Leadership

Multi-State credentialing

Payer knowledge

Systems proficiency

Time management

Analytical problem solving

Project management

Formation

Bachelor's degree in Healthcare Administration or related field

Outils

CAQH

NPPES

PECOS

payer portals

credentialing databases

Description du poste

Behavior Frontiers in El Segundo, CA, seeks a Credentialing Department Leader to supervise daily operations, oversee credentialing, enrollment, and provider maintenance, and ensure compliance with payers and regulators. You will drive efficiency, training, and quality assurance within a growing healthcare organization.

The role requires multi-state credentialing experience, strong leadership, and the ability to manage complex workflows while maintaining data integrity and strict confidentiality.