Manager, Credentialing

Centene Management Company LLC; New York (NY); Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K plan

Tuition reimbursement

Paid time off

Flexible schedule

Job summary

Centene Management Company LLC is seeking a credentialing professional to manage the ongoing credentialing and re-credentialing of providers. The role requires analyzing data, solving problems, and communicating clearly while coordinating with teams.

You will also supervise team members and ensure efficient workflows across credentialing tasks. Qualified candidates have a bachelor’s degree, 4+ years in credentialing or provider data, and experience in a managed care or insurance setting.

Qualifications

• Bachelor's degree in a related field is required.
• 4+ years of credentialing or provider data experience.
• Experience in a managed care or insurance environment.
• Proficient in Excel and data reporting.

Responsibilities

• Ensure ongoing credentialing and re-credentialing of providers.
• Apply analytical thinking to define problems, collect data, and draw conclusions.
• Supervise others by assigning duties and maintaining efficient work procedures.
• Use computer systems for management, reporting, and presentation of information.

Skills

Attention to detail

Communication

Travel readiness

Education

Bachelor's degree in related field

Tools

Excel

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• This is a remote role, with a preference for candidates located in the Buffalo, NY area to support periodic in-person meetings, audits, conferences and other onsite business needs.
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: To perform duties to ensure the on going credentialing and re-credentialing of providers.

• Apply principles of logical or scientific thinking to define problems, collect data, establish facts, and draw valid conclusions.
• Deal with several abstract and concrete variables.
• Ability to supervise others: determining or interpreting work procedures for a group of workers, assigning specific duties to them, maintaining harmonious relations among them, and promoting efficiency.
• Deal with system of real numbers; related algebraic solution of equations and inequalities; limits and continuity; and probability and statistical inference.
• Practical application of fractions, percentages, ratio and proportion, practical algebra, and geometric construction.
• Perform reading, writing and speaking at an advanced level, demonstrating good oral and written communication skills, as well as attention to details.
• Ability to use computer systems for the management, reporting and presentation of information, as well as correspondence.
• Ability to travel.

• Bachelor's degree in related field or equivalent experience.
• 4+ years of credentialing or provider data experience.
• Experience in a managed care or insurance environment.
• Proficient in Excel highly preferred.

Pay Range: $70,100.00 - $126,200.00 per year.

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules.

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey.

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.