Credentialing & Enrollment Manager

Credentialing & Enrollment Manager

Location: Tampa, Florida
Organization: Tampa Family Health Centers (TFHC)
Schedule: Monday - Friday | 8:00 AM - 5:00 PM (EST) | Hybrid

About Tampa Family Health Centers

At Tampa Family Health Centers, healthcare is more than a service - it's our mission. As a Federally Qualified Health Center (FQHC), we provide high-quality, compassionate, and accessible healthcare to a culturally diverse community across Hillsborough County. Our team thrives on collaboration, innovation, and operational excellence, and we are proud to be a trusted leader in community-centered care.

Joining TFHC means becoming part of a mission-driven organization where employees are supported, valued, and empowered to make a meaningful impact in the communities we serve.

Position Summary

Tampa Family Health Centers is seeking a dynamic and detail-oriented Credentialing & Enrollment Manager to lead and optimize provider credentialing and payer enrollment operations across the organization.

This leadership role is responsible for overseeing the full lifecycle of provider credentialing, enrollment, recredentialing, and regulatory compliance to ensure providers are accurately enrolled, reimbursement is uninterrupted, and organizational standards are maintained. The Credentialing & Enrollment Manager partners closely with Revenue Cycle, Human Resources, Clinical Leadership, and external payers to support operational success and provider readiness.

Essential Responsibilities

Credentialing & Enrollment Oversight
• Manage the full credentialing and recredentialing lifecycle for all providers
• Oversee payer enrollment applications and delegated credentialing agreements
• Maintain accurate provider records within credentialing databases including CAQH and payer portals
• Monitor licenses, certifications, registrations, and other provider credentials to ensure timely renewals
• Track enrollment status and resolve credentialing issues to prevent reimbursement delays
• Collaborate with Revenue Cycle and Billing teams to support clean claims and timely reimbursement

Compliance & Regulatory Excellence
• Ensure compliance with CMS, NCQA, HIPAA, HRSA, and payer requirements
• Maintain credentialing files and documentation in accordance with accreditation standards
• Respond to payer audits, documentation requests, and regulatory inquiries
• Develop and implement credentialing policies, procedures, and workflow improvements
• Ensure provider data integrity and confidentiality standards are maintained

Leadership & Operational Performance
• Supervise, mentor, and develop credentialing and enrollment staff
• Provide coaching, training, and performance feedback to team members
• Establish and monitor KPIs related to credentialing timeliness, enrollment completion, and compliance metrics
• Generate operational reports and present credentialing trends and performance updates
• Identify opportunities for process improvement and implement workflow enhancements
• Promote teamwork, accountability, and service excellence across departments

Qualifications
• High school diploma or equivalent required
• Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
• Minimum of 5 years of healthcare credentialing and payer enrollment experience required
• Previous leadership or supervisory experience preferred
• Experience working within an FQHC or healthcare organization strongly preferred

Skills & Abilities
• Strong knowledge of provider credentialing standards and payer enrollment requirements
• Experience with delegated credentialing agreements and payer contracting processes
• Familiarity with healthcare billing, reimbursement, and revenue cycle operations
• Proficiency with credentialing platforms such as CAQH, Qgenda, and Microsoft Office Suite
• Knowledge of CMS, NCQA, HIPAA, and healthcare regulatory requirements
• Excellent organizational, analytical, and problem-solving skills
• Strong verbal and written communication abilities
• Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment
• Commitment to professionalism, confidentiality, and operational excellence

Benefits & Rewards

TFHC offers a comprehensive benefits package designed to support your personal well-being and professional growth:
• Medical, Dental, and Vision Insurance
• Life and Disability Insurance
• Generous PTO and paid company holidays
• 401(k) program with employer contribution after one year
• Professional development and training opportunities
• Employee Assistance Program (EAP)
• Supportive and mission-driven work environment
• Career growth opportunities within a growing healthcare organization

Work Environment & Physical Demands
• Frequently required to sit, communicate, and work on a computer for extended periods
• Occasionally required to stand, walk, bend, reach, and lift up to 25 pounds
• Moderate concentration and prolonged mental effort required
• Ability to manage multiple interruptions and shifting priorities
• Work environment noise level is typically moderate

Why Tampa?

Consistently ranked among the Top Places to Live in Florida , Tampa offers year-round sunshine, beautiful Gulf Coast beaches, diverse dining, outdoor recreation, and a thriving cultural scene. With a strong healthcare community and exceptional quality of life, Tampa is an ideal place to live, work, and grow your career.

Join Us

If you are passionate about operational excellence, healthcare compliance, and supporting providers in delivering exceptional patient care, we invite you to apply today and become part of Tampa Family Health Centers' mission to redefine community healthcare throughout Tampa Bay.