Manager, Provider Credentialing & Enrollment

OrthoCarolina; Charlotte (NC); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Paid holidays

Wellness programs

Tuition reimbursement

Job summary

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 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.

Qualifications

• Bachelor's degree in related field or equivalent experience.
• 5+ years of credentialing/healthcare operations experience.
• 3+ years of management/supervisory experience.
• Experience with delegated credentialing and payer audits preferred.

Responsibilities

• Lead, coach, and develop the Provider Support Services team, ensuring 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 requirements, and corrective action plans.
• Ensure compliance with payer, regulatory, accreditation, and organizational requirements.
• Monitor department performance, workloads, timelines, and KPIs to meet goals.
• Partner with providers, leadership, hospitals, payers, Revenue Cycle, Managed Care, Compliance, HR, IT, and Operations to resolve issues.
• Identify and implement process improvements to increase efficiency, data accuracy, and service delivery.

Skills

Leadership

Organizational skills

Credentialing knowledge

Data analysis

Communication

Dashboards/reports

Education

Bachelor's degree in Healthcare Administration, Business Administration, Human Resources, or related field

Tools

Microsoft Excel

Microsoft Teams

SharePoint

Credentialing systems

Job description

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 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.