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Credentialing Manager

Confidential

Not specified permanent
HealthcareNCQA ComplianceCredentialingProvider EnrollmentRecredentialingDatabase ManagementQuality AuditsHealth Plan AuditsMicrosoft OfficeCommunication

The Rural Health Enterprise is seeking an experienced Credentialing Manager to oversee our Delegated Credentialing Program. This role ensures compliant provider enrollment and recredentialing, and ser...

January 30, 2026 View Details
Not specified permanent
GoRustExcel

The Rural Health Enterprise (RHE) is a dynamic for-profit subsidiary of The Rural Collaborative, owned collectively by 25 rural hospitals across Washington State. We are dedicated to enhancing the sus...

January 30, 2026 View Details
Dallas, Texas permanent
CredentialingBillingProvider EnrollmentMedicaidMedicareManaged Care PlansCAQHPECOSPayer PortalsClaims SubmissionClaim MonitoringPayment Posting

Child and Family Guidance is hiring a skilling Credentialing and Billing Specialist for the Dallas office. The Credentialing & Billing Specialist plays a vital role in supporting the financial operati...

January 30, 2026 View Details
Las Vegas, Nevada part_time
CredentialingInsuranceMedicaidMedicareEAPProviderMental HealthCredentialing ProcessComplianceMedical TerminologyComputer SystemsEHR

Job Summary We are seeking a detail-oriented and organized Credentialing Specialist to join our team at our Las Vegas, Nevada location. In this role, you will be responsible for managing the credentia...

January 30, 2026 View Details
Toledo, Ohio part_time
Claims ProcessingRevenue Cycle ManagementInsurance VerificationCredentialingProvider EnrollmentComplianceEHR SystemsData IntegrityReportingProblem Solving

Position Overview We are seeking a detail-oriented and proactive Billing & Credentialing Specialist to join our inclusive and affirming mental health practice. This role is critical to maintaining ef...

January 30, 2026 View Details
Bengaluru, Karnataka Hybrid contract
Business AnalysisProvider CredentialingAIProduct DesignFigmaUX/UI DesignEngineering-ready DocumentationWorkflow DesignDisruptive Use Case DefinitionFunctional Requirements

About Us: Atlas Systems Inc. is a Software Solutions company headquartered in East Brunswick, NJ. Incorporated in 2003, Atlas provides comprehensive range of solutions in the area of GRC, Technology,...

January 30, 2026 View Details
East Brunswick, New Jersey Hybrid contract
Business AnalysisProvider CredentialingAIUser Experience DesignFigmaUI/UX DesignEngineering DocumentationWorkflow DesignDisruptive Use Case DefinitionFunctional Requirements

About Us: Atlas Systems Inc. is a Software Solutions company headquartered in East Brunswick, NJ. Incorporated in 2003, Atlas provides comprehensive range of solutions in the area of GRC, Technology,...

January 30, 2026 View Details
Arlington Heights, Illinois permanent
CommunicationDeadline ManagementResearchOrganizationAttention to DetailPriority ManagementResourcefulnessComputer SkillsMedical Terminology

Bright Light Medical Imaging is a physician-led, multi-location imaging center where professionals don’t just work—they belong. We foster a supportive, team-driven culture that feels like family, wher...

January 30, 2026 View Details
Dallas, Texas Hybrid permanent
HealthcarePatient CareRegulatory ComplianceMedicareMedicaidCommercial PayersCAQHPECOSNPPESHIPAACredentialingIndicke

Role Summary The Subject Matter Expert (SME) – Provider Credentialing (Indiana) serves as the authoritative resource for all credentialing, re-credentialing, and enrollment activities within the stat...

January 30, 2026 View Details
Dallas, Texas Hybrid permanent
CredentialingCustomer ServiceCommunicationMedicareMedicaidCommercial PayersHIPAAExcelCAQHPECOS

About Plutus Health Inc.: Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private ...

January 30, 2026 View Details
United States Remote permanent
CredentialingProvider EnrollmentCredentialing ProcessesPECOSCAQH ProfilesWorkflow OptimizationStandard Operating ProceduresCompliance MonitoringProvider Support

🏥 About Sailor Health Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet recei...

December 15, 2025 View Details
Pensacola, FL permanent
Credential ReconciliationCredential MappingVendor LiaisonTraining Pipeline AnalysisStakeholder TrainingDoD 8140/8570NICE FrameworkMicrosoft OfficePublic Trust Clearance

About ARSIEM Corporation At ARSIEM Corporation we are committed to fostering a proven and trusted partnership with our government clients. We provide support to multiple agencies across the United St...

December 4, 2025 View Details
Remote Work Schedule Remote part_time
ContractingCredentialingProvider EnrollmentApplicationContract NegotiationsFollow-upTrackingReportingRelationship Building

About Amity: Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed; responsibility developed, and lasting relationships built. ...

October 2, 2025 View Details
Pune Remote permanent
English FluencyResearchInterpretationEvaluationApplication ProcessingCredentialingLicensurePayor EnrollmentMicrosoft OfficeGoogle ApplicationsCommunication

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is ...

January 8, 2025 View Details
USA Remote permanent
English FluencyCredentialing ExperienceResearch SkillsAttention to DetailMicrosoft Office ProficiencyCommunication SkillsDeadline Management

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is ...

December 17, 2025 View Details
USA Remote permanent
People ManagementTeam LeadershipCredentialingRegulatory ComplianceQuality AssuranceClient EngagementStakeholder ManagementOperationsProcess Optimization

ABOUT CERTIFY: We are on a mission to change how the US healthcare industry deals with provider data. Our goal is to reduce the cost of healthcare by streamlining access to provider data and reducing...

December 17, 2025 View Details
Philippines Remote permanent
CredentialingABAInsurancePayersMedicaidCommercialCAQHNPIPECOSInsurance PortalsCredentialing ProcessesEMR Systems

We are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians...

June 13, 2025 View Details
Calabarzon, Philippines Remote permanent
CredentialingPayer EnrollmentBilling ManagementCommunicationData ManagementABA Billing PracticesInsurance ReimbursementCredentialing GuidelinesCredentialing DatabasesBilling Software

We are seeking dedicated and detail-oriented ABA Credentialing and Billing Specialists to join our team at Remote VA. This dual-role position will focus on managing the complete credentialing process ...

January 6, 2026 View Details
Birmingham, AL; Remote, US (1111-1038 Credentialing) Remote permanent
CredentialingCommunicationOrganizationalAttention to DetailProblem SolvingMicrosoft OfficeHR CollaborationRegulatory ComplianceCrosstrainingMultitasking

Upstream Rehabilitation is looking for a Provider Credentialing Specialist to join our team! Location Type: Remote Build Your Career with Us! Upstream Rehabilitation is the country’s largest dedica...

January 15, 2026 View Details
Mexico Remote permanent
CredentialingProvider ManagementPayer EnrollmentDental InsuranceMedicaidCommercial NetworksPayer RelationshipsComplianceFee NegotiationsCredentialing RecordsCAQH ProfilesPayer Portals

Position: Credentialing Manager Location: Remote Department: Revenue Cycle Reports To: Director of RCM Position Overview: • Lead and manage provider credentialing and payer enrollment for a growing D...

January 19, 2026 View Details
Remote Remote permanent
Credentialing KnowledgeRecredentialing FilesCollaborative AgreementsDocumentationStatus TrackingProcess ImprovementProvider InquiriesLicensing InitiativesProvider CommunicationOrganizational Skills

About Us: Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided mar...

January 20, 2026 View Details

Customer Support Analyst I - Credentialing

Globalhealthcareexchangeinc

Office Location or Remote - USA Remote permanent
TroubleshootingCustomer ServiceCommunicationProblem SolvingAnalytical SkillsSalesforce ApplicationProductivityTime ManagementCollaborationCustomer Focus

Responsible for providing effective customer and service support to the GHX user community. Primarily responsible for providing professional, courteous, and efficient support for GHX customers accordi...

January 15, 2026 View Details
Acorn Health permanent
CommunicationInterpersonal SkillsOrganizational SkillsAttention to DetailComplianceResearchData VerificationCredentialing Process

Acorn Health is an Applied Behavioral Analysis (ABA) treatment provider dedicated to providing the best quality care for our clients. We aim to continually establish best-in-class standards in integri...

January 9, 2026 View Details

Credentialing Coordinator

Mentalhealthcenterofdenver

Denver (Dickenson (84)) Remote permanent
CredentialingVerificationDocumentationInsurance PayersRegulationsComplianceDatabase ManagementReportingLiaisonTrauma-Informed Environment

WellPower envisions a community where every person’s mental health is fostered through strength, resilience and hope. We empower people to overcome barriers and achieve lasting well-being through coll...

January 9, 2026 View Details
New York, NY or Remote (Headquarters) Remote permanent
CredentialingPatient CareNCQA ComplianceProcess OptimizationSOP DevelopmentCredentialing Metrics

About Us Nourish is on a mission to improve people’s health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world. Food can be medici...

January 6, 2026 View Details

Director, Credentialing

Imaginepediatrics

Remote, USA (Remote) Remote permanent
CredentialingLicensingEnrollmentOnboardingTelehealthMulti-specialtyPeople managementPolicy developmentReportingSoftware management

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavi...

December 18, 2025 View Details
Pomona (Pomona, CA Office) permanent
CredentialingEnrollmentHealthcare SystemsData ManagementComplianceProvider RelationsSOPsLicense RenewalsProcess OptimizationCommunication

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make except...

December 11, 2025 View Details
Remote, Contiguous US (Alma HQ) Remote permanent
Healthcare ComplianceAudit ManagementNCQA StandardsCompliance ScorecardRCM EfficiencyProcess ImprovementLeadershipCross-Functional ManagementPartner OversightRegulatory Monitoring

Alma is on a mission to simplify access to high-quality, affordable mental health care. We do this by making it easy and financially rewarding for therapists to accept insurance and offer in-network c...

December 11, 2025 View Details
Virtual (Remote) (Virtual) Remote permanent
CredentialingPrimary Source VerificationStakeholder RelationsData ValidationSystem UpdatesProcess DocumentationAttention to DetailTime ManagementCommunicationConflict Resolution

About the Company: Octave is a modern behavioral health practice creating a new standard for care delivery that’s both high-quality and accessible. With in-person and virtual clinics in multiple stat...

December 10, 2025 View Details
New York, NY or Remote (Headquarters) Remote permanent
CredentialingPatient CareHealthcare SystemsProcess OptimizationSOP DevelopmentReportingData AnalysisTeam ManagementRegulatory ComplianceAutomation

About Us Nourish is on a mission to improve people’s health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world. Food can be medici...

December 7, 2025 View Details
Remote - US (Remote) Remote permanent
Project ManagementPayor OperationsStakeholder ManagementCommunication SkillsCritical ThinkingOperational JudgmentMedicaid KnowledgeDelegated WorkflowsContract Review

About Us: Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided mar...

November 25, 2025 View Details
Remote, US (Remote - US) Remote permanent
Physician LicensingCredentialingRegulatory StandardsMulti-state LicensingOrganizational SkillsCommunicationCollaborationProcess ImprovementMentorship

As a Specialist for the Provider Licensing & Credentialing, you will work closely with our providers and business stakeholders to support the Keeps Medical Group credentialing and licensing proces...

November 21, 2025 View Details
Remote, USA (Remote) Remote permanent
Provider Performance ManagementCredentialing ManagementOrganizational SkillsIndependent Work ManagementComputerized DatabasesStart-up EnvironmentHIPAANCQA StandardsCMSState Regulations

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavi...

November 19, 2025 View Details