Credentialing Manager

Who We Are Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. What You’ll Do: Manage the end-to-end curation and submittal of all provider credentialing and enrollment applications to ensure timely approvals. Proactively network, identify and engage key decision-makers to successfully appeal and navigate closed panels. Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and entity-specific regulations, guidelines, policies, and standards. Monitor expiration dates for licenses and certifications, launching timely renewals to prevent service or billing issues Collect and validate documents to ensure accuracy of all credentialing elements; assess completeness of information and qualifications relative to credentialing standards Enter, update, and maintain data from provider applications into credentialing database in accordance with internal policies and procedures. Prepare, issue, track, and follow-up on credentialing statuses for efficient, high-volume processing in accordance with applicable standards, established procedural guidelines, and strict timelines. Conduct research on updated state and federal regulations and policies Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions Participate in the development and implementation of process improvements for the system-wide credentialing process; What We’re Looking for: We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. High school diploma required; associates or bachelor's degree in healthcare administration or a related field is preferred 3-5 years of experience in credentialing or provider enrollment. Experienced with multi state, multi payer hybrid (telehealth and in person) A MUST Ability to think creatively to navigate closed panels and proactively anticipate any potential roadblocks. Certified Provider Credentialing Specialist (CPCS) is a strong plus. Proficiency in database management, Google Suite, and AI-assisted credentialing or license-monitoring tools. High attention to detail, strong organizational abilities, effective communication, and strict adherence to data confidentiality. Knowledgeable in policies, laws and procedures We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression. Job Type: Full Time M-F 8-4 or 9-5 in EST or CST Benefits: Flexible scheduling options (to be discussed in interview) Benefit package including medical, dental and vision effective on Day 1 Work Location: Fully Remote #J-18808-Ljbffr Icon Health