Senior Credentialing Lead: Multi-State & Compliance

Brigade Health; Santa Ana (CA); On-site; USD 105,000 - 140,000; Full time

Benefits offered by this job

Performance-based bonus incentive

Job summary

Brigade Health in Santa Ana, California is looking for a Credentialing Lead responsible for overseeing provider credentialing and payer enrollment. This senior operational role focuses on compliance, process improvement, and managing credentialing workflows. The ideal candidate has over 5 years of experience in credentialing within a healthcare setting and holds an Associate’s degree, preferably with a Bachelor’s in a related field. The position offers a competitive pay range of $105,000 to $140,000 USD.

Qualifications

• 5+ years of experience in provider credentialing and payer enrollment.
• Proven experience managing credentialing operations in a healthcare setting.
• Strong knowledge of NCQA, CMS, payer enrollment, and state licensing requirements.

Responsibilities

• Own the full credentialing and recredentialing process for providers.
• Manage payer enrollment with commercial, Medicare, and Medicaid plans.
• Ensure compliance with NCQA, CMS, and state requirements.

Skills

Provider credentialing

Payer enrollment

Process design

Workflow optimization

Compliance management

Education

Associate’s degree

Bachelor’s degree in Healthcare Administration or related field

Job description

Brigade Health in Santa Ana, California is looking for a Credentialing Lead responsible for overseeing provider credentialing and payer enrollment. This senior operational role focuses on compliance, process improvement, and managing credentialing workflows. The ideal candidate has over 5 years of experience in credentialing within a healthcare setting and holds an Associate’s degree, preferably with a Bachelor’s in a related field. The position offers a competitive pay range of $105,000 to $140,000 USD.