Remote Credentialing Lead — Healthcare Operations

Curana Health; United States; A distancia; USD 90.000 - 130.000; Jornada completa

Descripción de la vacante

Curana Health in US-Remote is seeking an experienced Credentialing Manager to lead our Professional Credentialing team and oversee end-to-end credentialing and recredentialing. The role ensures regulatory compliance, supports provider network growth, and maintains accurate credentialing records across markets.

The ideal candidate has extensive managed care experience, strong leadership, and a track record of improving workflows, reporting, and system integration with IT and data teams to drive

Formación

• Bachelor’s degree or equivalent in healthcare.
• 7+ years in managed care or large health plan.
• 5+ years provider credentialing and contracting.
• Experience leading credentialing operations.
• Knowledge CMS, NCQA, Medicaid standards.

Responsabilidades

• Lead end-to-end practitioner credentialing and recredentialing.
• Manage a team of credentialing professionals.
• Monitor provider file inventory and turnaround times.
• Establish tracking and reporting for leadership visibility.
• Develop and maintain credentialing policies and procedures.
• Oversee credentialing systems integration with IT.
• Train and support team members and health plan partners.

Conocimientos

Provider credentialing

Team leadership

Reporting & analytics

Process improvement

Regulatory compliance knowledge

Educación

Bachelor’s degree or equivalent

Herramientas

CredentialStream

Excel

SharePoint

SQL basics

Descripción del empleo

Curana Health in US-Remote is seeking an experienced Credentialing Manager to lead our Professional Credentialing team and oversee end-to-end credentialing and recredentialing. The role ensures regulatory compliance, supports provider network growth, and maintains accurate credentialing records across markets.

The ideal candidate has extensive managed care experience, strong leadership, and a track record of improving workflows, reporting, and system integration with IT and data teams to drive