Credentialing & Enrollment Manager; Remote

Credentialing & Enrollment Manager (Remote)

Schedule:

Monday – Friday | 9:00 AM – 6:00 PM EST

Employment Type:

Full-Time
Industry: Healthcare Credentialing & Provider Enrollment

About the Opportunity

A rapidly growing healthcare services organization is seeking an experienced Credentialing & Enrollment Manager to lead provider credentialing, payer enrollment, and contracting operations across multiple states and payer networks.

The ideal candidate will have extensive experience managing provider enrollment projects, working directly with commercial and government payers, and leading a credentialing team in a fast-paced healthcare environment.

This is a fully remote position with long-term growth opportunities for professionals who are passionate about operational excellence and healthcare compliance.

Key Responsibilities

- Manage end-to-end provider credentialing and enrollment processes.
- Oversee Medicare, Medicaid, and Commercial Insurance enrollments.
- Ensure timely submission and follow-up of provider applications.
- Manage CAQH, PECOS, NPPES, and payer portal updates.
- Track credentialing status and maintain accurate provider records.
- Coordinate with providers, payers, and internal stakeholders.
- Handle recredentialing, demographic updates, and provider maintenance.
- Monitor enrollment timelines and resolve application delays.
- Develop and improve credentialing workflows and SOPs.
- Lead, train, and mentor credentialing specialists.
- Ensure compliance with payer, state, and federal requirements.
- Prepare credentialing reports, dashboards, and performance metrics.

Required Qualifications

- 7+ years of healthcare credentialing and provider enrollment experience.
- 2+ years of leadership or team management experience.
- Strong knowledge of:
- Medicare Enrollment
- Medicaid Enrollment
- Commercial Payer Credentialing
- CAQH
- PECOS
- NPPES
- Availity
- Provider Contracting
- Experience working with multi-state provider enrollments.
- Excellent communication and organizational skills.
- Ability to manage multiple projects simultaneously.
- Strong attention to detail and problem-solving skills.

Preferred Qualifications

- Experience managing remote credentialing teams.
- Knowledge of physician, behavioral health, therapy, home health, DME, or facility credentialing.

- Experience with credentialing software and CRM systems.
- Bachelor's degree in Healthcare Administration, Business Administration, or related field.

Work From Home Requirements

Applicants must have:

1.Dedicated and quiet workspace with minimal background noise
2.Windows 11 computer/laptop (required)
3.Reliable high-speed internet with minimum 100 Mbps download speed
4.Backup power and internet preferred
5.Webcam and headset for virtual meetings
6.Ability to work during U.S. Eastern Standard Time (EST) business hours

What We Offer

- Competitive compensation
- 100% Remote Work Environment
- Professional growth opportunities
- Collaborative and supportive team culture
- Long-term career advancement

How to Apply

If you have a proven track record in provider credentialing, enrollment management, and healthcare operations, we'd love to hear from you.

Apply through Linked In with your updated resume and a brief summary of your credentialing experience.

#Credentialing #Provider Enrollment #Healthcare Jobs #Remote Jobs #Credentialing Manager #Healthcare Operations #Medical Billing #Revenue Cycle Management  #Work From Home  #Hiring Now