Credentialing Manager; Remote

Silver Spring, United States | Posted on 02/09/2026

Job Type: Full-time Job Title: Credentialing Manager Location(s): Remote (MD, PA, VA, and/or DC area required)
Company: Psycho Geriatric Services (PGS)
Compensation: $70,000/yr

About Us: Psycho Geriatric Services (PGS) is a leader in mental health, with over 30 years of dedicated service to patients in nursing homes, assisted living, and other long-term care facilities. We proudly employ a growing team of 100+ highly qualified psychiatrists, nurse practitioners, licensed psychologists, and clinical social workers across Maryland, Virginia, Pennsylvania, and Washington DC. We collaborate with our facility partners to deliver evidence-based mental health care services, including psychiatric assessments, medication management, psychotherapy, crisis intervention, hospital placements and treatment, educational training, and quality regulatory documentation.

We offer compassionate care for long-term care residents, dependable support for our facility partners, and rewarding careers for mental healthcare providers.

At Psycho Geriatric Services (PGS), how we work is just as important as what we do. Every team member plays a vital role in our mission to deliver compassionate, evidence-based mental health care to long-term care residents and our facility partners. We live our core values each day —
Teamwork
, working together across roles and locations to provide quality patient care;
Compassion
, caring deeply for our patients, colleagues, and partners;
Problem-Solving
, viewing challenges as opportunities to do our best;
Integrity
, doing the right thing even when no one is watching; and Going the Extra Mile
, supporting one another and our facilities with dedication and heart.

Position Overview: The Credentialing Manager is responsible for overseeing and coordinating the credentialing and payer enrollment processes that support provider participation across the organization. This role manages clinician enrollment with government and commercial payers, including Medicare, Medicaid, Care First Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Optum, Kaiser, Humana, TRICARE, and other payer partners. The primary objective of this position is to ensure accurate provider data management and compliance with regulatory, accreditation, legal, and organizational requirements while supporting timely provider onboarding and uninterrupted access to patient care.

Responsibilities:

• Manage provider credentialing, re-credentialing, and enrollment with assigned insurance payers, ensuring completion within established timelines and KPIs.
• Lead and oversee internal and external credentialing team members, holding vendors accountable to service level agreements (SLAs), KPIs, and quality standards.
• Track and report credentialing metrics; identify and implement process improvements to reduce turnaround time.
• Provide clear, timely communication to providers and internal stakeholders on credentialing status, requirements, and next steps.
• Review and maintain accurate provider files and system records, ensuring compliance with payer requirements, state regulations, and company policies.
• Resolve complex credentialing and provider file issues with accuracy and urgency.
• Coordinate contract execution and network participation once providers are approved.
• Collaborate with RCM and other internal teams to resolve credentialing-related issues impacting revenue cycle.
• Prepare and present weekly updates on credentialing progress, vendor performance, and KPIs.
• Effectively manage workload, priorities, and time across team assignments.

• 5+ years of credentialing experience required.
• Experience using credentialing software.
• Experience in having direct reports and managing external vendors.
• Bachelor’s degree in healthcare or related field preferred.
• Experience with payer contract negotiation is a plus.
• Experience with credentialing providers in a multi-specialty, mobile, behavioral health practices is preferred.
• Experience working with payers in Pennsylvania is preferred.
• Strong understanding of HIPAA and healthcare documentation compliance standards.
• Proven ability to train and support staff…