Credentialing Operations Manager

The Credentialing & Payer Operations Manager will manage end-to-end provider licensing, payer enrollment, and credentialing operations in a full-time remote role, focusing on building scalable processes and maintaining regulatory compliance. Key Responsibilities Manage full lifecycle licensing, credentialing, and re-credentialing applications for Care Team members across multiple states Establish and optimize internal credentialing and payer enrollment processes while maintaining the credentialing management platform Oversee the credentialing-to-claims bridge to ensure providers are linked to billing systems, preventing claim denials Required Qualifications 5+ years of healthcare credentialing, provider operations, and payer enrollment experience Proven experience submitting state licensure applications across multiple states and tracking certification/CEU requirements Bachelor's degree in Healthcare Administration, Business, or related field (Associates degree accepted with equivalent hands-on experience) Hands-on experience with Medallion or similar credentialing tracking platforms is strongly preferred