Position Summary: The
Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization. This role focuses on improving efficiency, implementing automation, and ensuring timely provider onboarding and compliance.
Position Details:- Location: Northbrook, IL
- Schedule: Full-time, Monday through Friday on-site.
- Compensation: $75,000 - $95,000
Key Responsibilities- Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of provider applications and renewals.
- Monitor department productivity, application status, enrollment aging, and onboarding timelines.
- Develop and maintain operational reports, dashboards, and KPI tracking tools.
- Standardize credentialing processes, maintain SOPs, and identify opportunities to reduce delays and improve efficiency.
- Train, mentor, and support credentialing staff while ensuring adherence to payer and regulatory requirements.
- Coordinate escalations with payers, providers, and internal stakeholders to resolve enrollment issues.
- Serve as the operational partner to the Director by leading process improvements and executing department initiatives.
AI & Automation Responsibilities- Automate provider status updates, enrollment tracking, and stakeholder communications.
- Implement automated alerts for expiring licenses, certifications, malpractice coverage, and payer renewals.
- Develop AI-assisted dashboards that monitor application progress, aging, and team productivity.
- Utilize automation tools to reduce manual document collection, tracking, and reporting activities.
RequirementsMinimum Requirements- Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred.
- Minimum 5 years of provider credentialing and payer enrollment experience.
- Strong knowledge of CAQH, Medicare, Medicaid, commercial payer enrollment, and provider licensing requirements.
- Experience managing credentialing workflows, productivity metrics, and provider onboarding timelines.
- Proficiency with credentialing software, reporting tools, and document management systems.
Benefits- Health
- Dental
- Vision
- 401k & Match
- Paid time off
