Manager of Credentialing Operations

Job Description: Summary: The Manager of Credentialing Operations has direct responsibility for managing the internal operational credentialing activities for the Health Plan. The Manager oversees the end-to-end credentialing process for healthcare providers in compliance with regulatory, accreditation, and organizational standards. This role manages daily operations, leads credentialing staff, and ensures timely verification, enrollment, and maintenance of provider credentials. They are responsible for monitoring performance metrics, enforcing quality standards, and driving process improvements to increase efficiency and ensure accuracy in provider data systems.…