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Outpatient Credentialing Manager

Job in Virginia Beach, Virginia, 23450, USA
Listing for: Virtual Vocations Inc
Full Time position
Listed on 2026-03-05
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A company is looking for an Outpatient Provider Credentialing Manager.

Key Responsibilities Oversee end-to-end credentialing and recredentialing for all outpatient providers Manage credentialing staff and external vendors; provide training and performance management Ensure compliance with CMS, NCQA, Joint Commission, and payer standards

Required Qualifications Associate's degree or equivalent required;
Bachelor's degree preferred Minimum 5 years of provider credentialing experience in outpatient or multi-specialty settings CPCS or CMSC certification highly desirable Proficiency with credentialing software (Med Trainer, Modio, or similar) Knowledge of credentialing regulations (CMS, NCQA, Joint Commission) and payer enrollment processes
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