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Credentialing Manager
3 months ago
NextStep Recruiting has partnered with a leading health services company to find a Credentialing Manager. The ideal candidate will lead and direct all credentialing activities, ensuring compliance and efficient processes for government, commercial insurance state licensing, and business-related contract forms. This role is pivotal in maintaining high credentialing standards and contributing to the company's growth and operational efficiency.
Required:
- Bachelor's degree in a relevant field or Credentialing Certifications
- Experience with technology platforms such as Symplr, Cactus, or similar contract management tools.
- 5+ years of previous credentialing experience in a physician's office or hospital setting.
- 4+ years of management experience in increasingly responsible roles.
- Strong knowledge of third-party credentialing with an emphasis on government and commercial payers.
Preferred:
- Experience in new technology implementation.
- Previous exposure and understanding of medical terminology related to the business.
- Knowledge of CAQH Pro-View and CAQH Enroll-Hub.
- Experience talking to government payers, especially Medicaid and Medicare application processing.
If you or someone you know is passionate about healthcare services and has an eye for detail in credentialing processes, apply today as this is a fantastic opportunity to join a mission-driven organization. Don’t miss out on this chance to make a significant impact
NextStep Recruiting provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or sexual orientation. In addition to federal law requirements, NextStep Recruiting complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
