Hybrid Credentialing Ops Lead: Compliance & Efficiency

TWG Talent Solutions; Tampa (FL); Hybrid; USD 75,000 - 95,000; Full time

Job summary

A national healthcare services provider is seeking a Credentialing Operations Manager to oversee credentialing for providers and facilities. This hybrid role focuses on ensuring compliance with regulatory standards and optimizing processes. Ideal candidates should have 3–5 years of experience in credentialing operations and proven leadership in fast-paced environments. A Bachelor’s degree is required, and a Master’s is preferred. The position promotes continuous improvement across all credentialing activities.

Qualifications

• 3–5+ years in credentialing operations, with leadership experience.
• Strong knowledge of credentialing regulations (NCQA, URAC, CMS, Joint Commission).
• Proven ability to manage processes, people, and priorities in a fast-paced environment.

Responsibilities

• Own credentialing & recredentialing for providers and facilities.
• Drive operational excellence by identifying gaps and improving workflows.
• Lead delegations audits, including oversight and corrective action planning.
• Partner cross-functionally with internal teams and external stakeholders.

Skills

Credentialing operations

Regulatory compliance

Operational excellence

Leadership

Education

Bachelor’s degree

Master’s degree

Job description

A national healthcare services provider is seeking a Credentialing Operations Manager to oversee credentialing for providers and facilities. This hybrid role focuses on ensuring compliance with regulatory standards and optimizing processes. Ideal candidates should have 3–5 years of experience in credentialing operations and proven leadership in fast-paced environments. A Bachelor’s degree is required, and a Master’s is preferred. The position promotes continuous improvement across all credentialing activities.