Manager, Provider Credentialing- Charlotte, NC

OrthoCarolina; Charlotte, Northern (NC, KY); Hybrid; USD 110,000 - 140,000; Full time

Job summary

OrthoCarolina in Charlotte, NC is seeking a Manager of Provider Support Services to lead the Provider Credentialing team. This hybrid, full-time role oversees credentialing, payer enrollment, privileging, onboarding, data management, and audit readiness.

You will coach staff, drive process improvements, ensure regulatory compliance, and partner across departments to enhance accuracy and efficiency. Qualifications include a bachelor's degree and 5+ years in credentialing with 3+ years in

Qualifications

• Bachelor's degree in healthcare administration, business administration, human resources, or related field preferred.
• 5+ years of credentialing, provider enrollment, medical staff services, or healthcare operations.
• 3+ years of management, supervisory, or team leadership experience.
• Experience managing credentialing and provider enrollment functions within a healthcare organization.
• Experience with delegated credentialing arrangements, payer audits, performance metrics, and operational improvement initiatives preferred.

Responsibilities

• Lead, coach, and develop the Provider Support Services team to ensure quality, productivity, compliance, and service.
• Oversee credentialing, recredentialing, primary source verification, payer enrollment, privileging, onboarding, and delegated credentialing activities.
• Manage delegated credentialing programs, payer relationships, audits, reporting, and corrective action plans.
• Ensure compliance with payer, regulatory, accreditation, and organizational requirements.
• Monitor department performance, workloads, timelines, and KPIs to achieve goals.

Skills

Leadership

Coaching

Team development

Organization

Data analysis

Reports

Dashboards

Credentialing

Payer enrollment

Communication

Cross-functional collaboration

Excel

Microsoft Teams

SharePoint

Outlook

Word

Credentialing systems

Provider databases

Education

Bachelor's degree in Healthcare Administration

Tools

Microsoft Teams

SharePoint

Outlook

Word

Credentialing systems

Provider databases

Job description

## Manager, Provider Credentialing- Charlotte, NCApply: Hybrid: Charlotte, NC: Full time: Posted Today: R7819At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit https://www.orthocarolina.com/about-us **OrthoCarolina is seeking a Manager of Provider Support Services to join our Provider Credentialing team in Charlotte, NC.**The Manager, Provider Support Services is responsible for the strategic leadership, operational management, compliance oversight, and continuous improvement of provider credentialing, delegated credentialing, payer enrollment, privileging, onboarding, provider data management, training, audit readiness, and provider support services.**Essential Functions:**· Lead, coach, and develop the Provider Support Services team, ensuring accountability for quality, productivity, compliance, and service.· Oversee provider credentialing, recredentialing, primary source verification, payer enrollment, privileging, onboarding, and delegated credentialing activities.· Manage delegated credentialing programs, payer relationships, audits, reporting requirements, and corrective action plans.· Ensure compliance with payer, regulatory, accreditation, and organizational requirements.· Monitor department performance, workloads, timelines, and key performance indicators to ensure operational goals are achieved.· Partner with providers, leadership, hospitals, payers, Revenue Cycle, Managed Care, Compliance, HR, IT, and Operations to resolve issues and support provider readiness.· Identify and implement process improvements to increase efficiency, data accuracy, and service delivery.**Skills and Abilities:**· Strong leadership, coaching, and team development skills.· Excellent organizational skills with the ability to manage multiple priorities and deadlines.· Strong knowledge of credentialing, payer enrollment, delegated credentialing, privileging, and healthcare compliance requirements.· Demonstrated problem-solving, critical-thinking, and process-improvement abilities.· Strong interpersonal and communication skills with the ability to collaborate across departments and with external partners.· Advanced proficiency in Microsoft Excel and experience with Microsoft Teams, SharePoint, Outlook, Word, credentialing systems, and provider databases.· Ability to analyze data, develop reports and dashboards, and monitor operational performance.**Qualifications:**· Bachelor’s degree in Healthcare Administration, Business Administration, Human Resources, or a related field preferred; equivalent education and relevant experience may be considered.· 5+ years of progressively responsible experience in credentialing, provider enrollment, medical staff services, or healthcare operations.· 3+ years of management, supervisory, or team leadership experience.· Experience managing credentialing and provider enrollment functions within a healthcare organization.· Experience with delegated credentialing arrangements, payer audits, performance metrics, and operational improvement initiatives strongly preferred.