Credentialing Manager

Job Description

Job Description

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you!

Why You'll Love Working with us:

???? Rapid career advancement ???? Competitive compensation package

???? Positive, team-oriented environment ???? Work with cutting-ed technology

???? Make a real impact on patients’ lives ???? Join a fast-growing, mission-driven company

Position Summary:

The Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization. This role focuses on improving efficiency, implementing automation, and ensuring timely provider onboarding and compliance.

Position Details:

• Location: Northbrook, IL
• Schedule: Full-time, Monday through Friday on-site.
• Compensation: $75,000 - $95,000

Key Responsibilities

• Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of provider applications and renewals.
• Monitor department productivity, application status, enrollment aging, and onboarding timelines.
• Develop and maintain operational reports, dashboards, and KPI tracking tools.
• Standardize credentialing processes, maintain SOPs, and identify opportunities to reduce delays and improve efficiency.
• Train, mentor, and support credentialing staff while ensuring adherence to payer and regulatory requirements.
• Coordinate escalations with payers, providers, and internal stakeholders to resolve enrollment issues.
• Serve as the operational partner to the Director by leading process improvements and executing department initiatives.

AI & Automation Responsibilities

• Automate provider status updates, enrollment tracking, and stakeholder communications.
• Implement automated alerts for expiring licenses, certifications, malpractice coverage, and payer renewals.
• Develop AI-assisted dashboards that monitor application progress, aging, and team productivity.
• Utilize automation tools to reduce manual document collection, tracking, and reporting activities.

Requirements

Minimum Requirements

• Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred.
• Minimum 5 years of provider credentialing and payer enrollment experience.
• Strong knowledge of CAQH, Medicare, Medicaid, commercial payer enrollment, and provider licensing requirements.
• Experience managing credentialing workflows, productivity metrics, and provider onboarding timelines.
• Proficiency with credentialing software, reporting tools, and document management systems.

Benefits

• Health
• Dental
• Vision
• 401k & Match
• Paid time off