Provider Credentialing & Relations Manager

Assembly Health; Oregon; Híbrido; USD 75.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus programs

Comprehensive benefits package

Descripción de la vacante

Assembly Health is seeking a Credentialing Manager to lead client relationships, oversee credentialing and enrollment workflows, and drive operational excellence within a fast-paced healthcare services setting.

You will own the customer success roadmap, manage provider enrollment, and liaise with providers, payers, and internal stakeholders while scaling processes nationally. Strong leadership and healthcare operations experience are essential.

Formación

• 5+ years of experience in provider relations, credentialing, enrollment, or healthcare operations.
• 2+ years of people management experience, including managing Team Leads or supervisors.
• 2+ years of account management or customer success experience, serving as primary point of contact for clients.
• Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows.
• Proven ability to lead teams, drive accountability, and implement scalable processes.
• Bachelor's degree required; degree in healthcare administration, business, or process improvement preferred.

Responsabilidades

• Serve as main contact for assigned clients, addressing inquiries and concerns proactively.
• Conduct regular client meetings to review provider enrollment and credentialing data, challenges, and goals.
• Monitor KPIs such as retention, credentialing turnaround time, and NPS.
• Oversee all provider enrollment, credentialing, and re-credentialing activities for accuracy and payer compliance.
• Track enrollment status, payer communications, and provider data across systems.
• Act as primary contact for complex provider, payer, or claims-related issues.
• Identify and implement process improvements to streamline workflows and reduce cycle times.
• Standardize SOPs and reporting structures across Provider Relations.
• Analyze trends and performance metrics to inform decisions and scaling efforts.

Conocimientos

Provider relations

Credentialing

Enrollment

People management

Account management

Healthcare operations

Communication skills

Analytical skills

Process improvement

Educación

Bachelor's degree

Healthcare administration degree preferred

Herramientas

Microsoft Office

Credentialing databases

Descripción del empleo

Assembly Health is seeking a Credentialing Manager to lead client relationships, oversee credentialing and enrollment workflows, and drive operational excellence within a fast-paced healthcare services setting.

You will own the customer success roadmap, manage provider enrollment, and liaise with providers, payers, and internal stakeholders while scaling processes nationally. Strong leadership and healthcare operations experience are essential.