Senior Manager of Strategic Credentialing and Network Operations

📋 Description

• Own multi-state provider enrollment across commercial and Medicaid/MCO plans, driving down provider
• Direct third-party credentialing vendors, establishing clear KPIs, SLAs, and accountability
• Build, maintain, and operationalize health plan delegated credentialing arrangements and lead
• Partner with RCM, Clinical Ops, Legal, and Tech to optimize provider roster management, EHR data

🎯 Requirements

• 8+ years of healthcare credentialing and provider enrollment experience (multi-state
• Proven track record managing delegated credentialing processes and health plan audit requirements
• Hands-on experience managing third-party vendors against SLAs; strong command of NCQA standards and
• Certified Provider Credentialing Specialist (CPCS) or CPCS-MS preferred

🎁 Benefits

• Medical, Dental & Vision coverage
• 401(k) with company match
• Employer-paid life insurance
• Generous paid time off
• Diverse, experienced leadership team and supportive culture