Credentialing Manager

Job description

Description As a member of the Credentialing Team, you guide and oversee the provider onboarding and re-credentialing processes that are vital to expanding and maintaining access to care. You understand that credentialing is more than checking boxes — it is about ensuring families can begin services on time, providers can deliver care without interruption, and the organization remains in full compliance with payer and regulatory requirements. Your leadership ensures that details are managed consistently, deadlines are met, and team members are supported in their day-to-day work. By building efficient systems, resolving escalated issues, and maintaining strong payer relationships, you safeguard the organization’s ability to grow its provider network, welcome new families, and continue delivering high-quality care. Key Responsibilities: - Lead and oversee all credentialing and re-credentialing processes to ensure providers are fully authorized to deliver care within established timelines. - Develop, implement, and maintain credentialing policies, procedures, and workflows that ensure accuracy, consistency, and compliance. - Prepare, review, and submit credentialing applications, ensu...