Credentialing Manager

Compensation: $45-50/hour W2 Schedule: Monday–Friday, 40 hours/week Location: Oak Brook, IL | Initially onsite with hybrid flexibility after training Start: Targeting September 2026 Overview Our Client, a well known medical practice, is looking to expand the team and focused on an experienced Credentialing Manager to join a large, established healthcare organization supporting a complex physician network. This is a hands‑on leadership opportunity for someone who brings deep experience across provider credentialing, payer enrollment, Medicare/Medicaid, revenue cycle operations, and high‑volume physician‑group environments. The Credentialing Manager will lead a team of credentialing professionals while maintaining direct oversight of critical enrollment, recredentialing, payer roster, and compliance activities. What You’ll Do Lead day‑to‑day provider and facility credentialing, recredentialing, and payer enrollment operations. Manage and develop a credentialing team consisting of 5+ professionals, including a supervisor. Oversee commercial payer enrollment as well as Medicare and Medicaid enrollment and revalidation processes. Manage credentialing calendars, expiration dates, renewal requirements, compliance deadlines, and provider data. Coordinate and oversee payer roster submissions to maintain accurate provider participation and reduce credentialing‑related claim issues. Lead EFT/ERA enrollment activities across commercial and governmental payers. Administer payer, credentialing, and provider portals, including access and provider information. Work closely with Revenue Cycle Management to resolve enrollment issues that may affect billing, reimbursement, or claim processing. Coordinate credentialing activities involving Physician‑Hospital Organizations (PHOs) and other affiliated organizations. Partner with Revenue Cycle, Compliance, Legal, Operations, providers, and external payer organizations. Develop reporting and tracking mechanisms around credentialing status, deadlines, performance metrics, and compliance risks. Identify opportunities to improve credentialing workflows, technology reporting, and overall operational efficiency. Establish clear standards for accuracy, accountability, service, and team performance. What We’re Looking For 5–7+ years of medical credentialing and/or payer enrollment experience, including progressively responsible experience. Demonstrated experience leading, supervising, or mentoring credentialing professionals. Strong hands‑on knowledge of: Provider credentialing and recredentialing Medicare and Medicaid enrollment/revalidations Payer roster management Provider and payer portal administration Experience working closely with Revenue Cycle Management operations. Background supporting a large physician group, medical group, health system, MSO, or similarly complex healthcare organization. Strong proficiency with CAQH, PECOS, payer portals, and credentialing technology/platforms. Ability to manage large volumes of provider information while maintaining excellent accuracy and compliance. Strong project management and organizational skills with the ability to manage multiple deadlines simultaneously. Excellent communication skills and the ability to work effectively with physicians, payers, operational leadership, and senior executives. Bachelor's degree in Healthcare Administration, Business Administration, or a related discipline preferred. Highly Preferred Experience supporting or working with Physician‑Hospital Organizations (PHOs). CPCS or CPMSM certification. Multi‑state credentialing experience. Experience supporting large or high‑volume provider populations.Familiarity with value‑based care arrangements. Experience improving credentialing workflows, reporting, tracking systems, or technology. #J-18808-Ljbffr