Senior Credentialing & Claims Manager

Tenet Healthcare; Dallas (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

Tenet Healthcare is hiring a Credentialing Manager to lead provider credentialing and re-credentialing programs across complex payer networks. The role requires deep knowledge of credentialing, enrollment, and revenue cycle processes, with a focus on resolving claims issues and optimizing workflows.

The ideal candidate will collaborate with the National Director of Credentialing, manage team performance, and drive SOPs for credentialing and claims collaboration while ensuring timely KPI

Qualifications

• Bachelor’s degree in healthcare management, public health, accounting, finance, business, social or behavioral sciences preferred or equivalent experience.
• 7–10 years of previous managed care experience and 5+ years’ experience in a credentialing leadership role.
• Experience in credentialing leadership with emphasis in health plan/provider contracting and physician group management/contracting.

Responsibilities

• Provide oversight and management of the credentialing worklists in Athena to resolve RCM issues impacted by credentialing.
• Elevate health plan partner relationships to drive internal strategies around onboarding and acquisitions with accurate data input/submissions and timely project completion.
• Prioritize root cause analysis and problem‑solving daily to ensure claims payment is successful and patient access is never hindered due to administrative challenges.
• Lead all training needs for the team within the manager's scope – initial training as well as retraining to ensure the right tools and knowledge are provided.
• The Credentialing Manager will communicate effectively to all levels and produce productivity reports and mitigation plans.

Skills

Analytical abilities

Communication skills

Healthcare management knowledge

Problem solving

Customer service

Education

Bachelor’s degree in healthcare management or related

Tools

Echo credentialing systems

Athena

MS Office

Job description

Tenet Healthcare is hiring a Credentialing Manager to lead provider credentialing and re-credentialing programs across complex payer networks. The role requires deep knowledge of credentialing, enrollment, and revenue cycle processes, with a focus on resolving claims issues and optimizing workflows.

The ideal candidate will collaborate with the National Director of Credentialing, manage team performance, and drive SOPs for credentialing and claims collaboration while ensuring timely KPI