CrawlJobs Logo

Credentialing Manager

United States, Indianapolis · Job Posted March 01, 2026
Apply Position
Job Link Share

Job Description

Robert Half is partnering with a healthcare company known for providing integrated services to 15 affiliates across 19 different states. Part of providing these integrated services is the team behind the Credentialing Services. Robert Half is currently hiring for a Credentialing Manager and we are seeking a strong managerial profile with experience supporting, restabilizing, and repairing teams with renewed leadership support in addition to having not only provider enrollment but payer enrollment.

Job Responsibility

  • Coordinate and manage provider credentialing and payer enrollment processes, ensuring all policies and procedures are followed
  • Maintain and enhance the internal credentialing database for accuracy, renewals, and reporting
  • Oversee the management of provider licenses, certificates, and credentialing documents, ensuring timely renewals and proper notifications
  • Track and report on application turnaround times and facilitate credentialing audits as needed
  • Supervise and support the credentialing team, providing training, allocating work, ensuring policy compliance, and resolving issues
  • Ensure credentialing records (e.g., NPPES, PECOS, CAQH) are up-to-date for all providers
  • Foster compliance with organizational, state, and federal requirements, and uphold health equity and racial equity values throughout credentialing practices

Requirements

  • Proven experience in a credentialing specialist or credentialing management role
  • People management experience: task allocation, training/coaching, performance management, and workflow quality review
  • Strong audit preparation and execution background
  • Excellent communication and stakeholder management skills
  • Commitment to health equity, racial equity, and continuous self-learning
  • Modio credentialing platform experience is required
  • Advanced experience with credentialing software, including CAQH, NPPES, PECOS, and payer/facility enrollment workflows (Medicare/Medicaid)
  • Intermediate Microsoft Excel skills for tracking and reporting
  • Deep knowledge of PSV and payor enrollment best practices
  • Ability to quickly learn/optimize workflow processes and ensure compliance

What we offer

  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Credentialing Manager

8 matching positions

Credentialing Manager

Robert Half is partnering with a Wisconsin headquartered healthcare organization...
Location
Location
United States , Brookfield, WI
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in healthcare administration, business, or related field
  • 10 years of progressive credentialing experience within the healthcare industry, including experience with supervisory or management
  • In-depth knowledge of credentialing standards, regulations, and best practices (NCQA, CMS, Joint Commission, and payer requirements)
  • Strong organizational, analytical, and problem-solving skills
  • ability to manage multiple priorities under tight deadlines
  • Excellent interpersonal and communication skills, both written and verbal
  • Proficiency with credentialing systems/software and Microsoft Office Suite
Job Responsibility
Job Responsibility
  • Lead the credentialing team to process provider applications, verifications, and re-credentialing activities in accordance with regulatory, payer, and facility requirements
  • Develop, implement, and maintain policies, procedures, and workflow improvements to ensure efficient, compliant credentialing operations
  • Oversee initial and ongoing verification of practitioner credentials (education, licensure, certifications, work history, malpractice history, etc.)
  • Stay current with state, federal, and accrediting body requirements (e.g., NCQA, Joint Commission) and serve as internal subject matter expert for compliance
  • Manage relationships and communications with providers, insurance payers, and internal stakeholders to resolve credentialing issues and expedite enrollment
  • Prepare for and participate in audits, surveys, and quality assurance reviews
  • ensure proper documentation and recordkeeping
  • Provide regular reporting and analytics to senior leadership regarding credentialing metrics, provider enrollment status, and workflow efficiency
  • Hire, train, and mentor credentialing staff
  • foster a culture of accountability and continuous improvement
What we offer
What we offer
  • competitive salary
  • benefits
  • generous paid time off
  • flexible schedule
  • fully remote option
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Senior Manager, Licensing, Credentialing, & Enrollments

Own the strategy and execution of our licensing, credentialing, and Medicaid enr...
Location
Location
United States
Salary
Salary:
145000.00 - 170000.00 USD / Year
pomelocare.com Logo
Pomelo Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 5+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup
  • 2+ years people management experience
  • 1+ years experience managing licensing, credentialing, and enrollment activities
  • Experience with credentialing APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans preferred
  • Exceptional project management and prioritization skills
  • Experience building and scaling operational processes for clinicians
  • Results-oriented operator who moves fast
  • Meticulous attention to detail
  • Comfort with ambiguity
  • Exceptional ability to work cross-functionally with clinicians, technical teams, and external vendors / contacts
Job Responsibility
Job Responsibility
  • Manage a team of licensing and credentialing associates and managers
  • Oversee the end-to-end process for licensing, credentialing and enrolling providers with states and our health plan partners
  • Own and implement licensing, credentialing, and enrollment strategy across clinical specialties, payers and geographic states to ensure adequate coverage and access to care for patients
  • Leverage data to proactively identify gaps in both process and clinician licensing, credentialing, and enrollment coverage
  • Proactively identify and resolve process improvements, both internally and with third parties
  • Own processes related to the Pomelo Credentialing Committee
  • Work cross-functionally with our customer success, market operations, and clinical teams to hit our licensing and credentialing goals
  • Manage relationship with third-party licensing vendor, including holding them accountable to SLAs
  • Lead audit activities related to licensing, credentialing, and enrollment including delegated credentialing agreements
  • Scale the licensing, credentialing, and payer enrollment guide across all Pomelo states and payers
What we offer
What we offer
  • Competitive healthcare benefits
  • Generous equity compensation
  • Unlimited vacation
  • Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
  • Fulltime
Read More
Arrow Right
New

Controller

We are looking for an experienced Controller to lead financial operations and pr...
Location
Location
United States , Norman
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 7 years of progressive experience in accounting, finance, or controllership roles
  • Certified Public Accountant (CPA) credential preferred or required based on organizational standards
  • Demonstrated success preparing budgets, analyzing revenue trends, and interpreting a wide range of financial reports and statements
  • Strong knowledge of month-end close procedures, financial audits, and internal financial controls
  • Proven ability to supervise employees, delegate effectively, and guide teams across multiple levels of an organization
  • Advanced proficiency with business software applications, including spreadsheets, databases, word processing, and reporting tools
  • Excellent organizational skills with strong attention to detail and the ability to manage competing priorities in a dynamic environment
  • Ability to learn quickly, exercise initiative, and adapt effectively within a changing operational setting
Job Responsibility
Job Responsibility
  • Lead the finance function by setting direction for accounting, reporting, budgeting, and overall fiscal performance in support of business objectives
  • Oversee daily activities of the accounting and finance team, including staff leadership, work allocation, coaching, and performance management
  • Manage the preparation of departmental budgets and monitor financial results to help ensure alignment with operational goals
  • Establish dependable cash flow forecasting and reporting practices to maintain adequate liquidity for ongoing business needs
  • Direct the monthly, quarterly, and annual close processes and ensure financial statements and related reports are completed accurately and on schedule
  • Advise leadership on the financial implications of near-term initiatives and long-range plans to support informed decision-making
  • Coordinate with external auditors and respond to management requests for financial analysis, special reports, and year-end audit support
  • Build and maintain effective working relationships with vendors, contractors, equipment providers, managers, and internal teams
  • Uphold company policies, protect sensitive financial information, and stay current on accounting standards, finance practices, and relevant business operations
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Company 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Product Specialist - Eastern PA

Biocomposites is an international medical devices company that engineers, manufa...
Location
Location
Harrisburg
Salary
Salary:
Not provided
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3-5 years of documented medical or B2B sales success grounded in sales process training
  • Documented sales success and career progression
  • Demonstration of competency in presenting technical information
  • Ability to work with highly diverse groups
  • Ability to present and educate provided materials
  • Strong written and oral communication skills
  • Documented ability to influence decision makers
  • High organized with exceptional follow up
  • Computer skills, CRM skills, ability to utilize technology to aid in Territory Management
  • Bachelor's degree
Job Responsibility
Job Responsibility
  • Achieve sales revenue targets by product and specialty in assigned territory hospitals
  • Drive adoption in existing accounts and new users in hospitals within assigned territory
  • Exhibit confidence in product knowledge and science to handle competitive threats
  • Leverage data and local insight to prioritize local territory needs and activities
  • Utilize business planning tools, data and information to effectively work the territory while achieving goals through set quarterly MBOs
  • Enhance relationships with key stakeholders within distributor network to influence resource allocation and prioritize focus on Biocomposites' products
  • Ensure all distributor sales representatives sell compliantly and use our approved product messaging
  • Provide continuous training and education to all distributor sales representatives in all territory vertical markets
  • Identify and engage new distribution partners in our key vertical markets
  • Regularly update distributor network on market conditions, challenges, product innovations, competition and pricing
What we offer
What we offer
  • Competitive salary package and benefits
  • Opportunities to thrive and grow
  • Engaged and inclusive global teams
  • Fulltime
Read More
Arrow Right
New

Sr. Accountant

Execute monthly accounting close procedures and deliverables primarily in the co...
Location
Location
United States , Arlington
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • BA/BS in Accounting
  • CPA credentials are preferred
  • 3-5 years of overall general accounting experience, ideally with Big 4 experience
  • Oracle 11i or higher, or other ERP system experience
  • Strong Excel skills required
  • Accounting experience in publicly-traded company a plus
  • Strong analytical skills, accuracy and attention to detail a plus
  • Ability to work in a dynamic and changing environment
  • Deep understanding of internal controls and SOX compliance
  • Strong organizational, written and verbal communication skills required
Job Responsibility
Job Responsibility
  • Execute monthly accounting close procedures and deliverables primarily in the compensation area (journal entries, reconciliations, reports)
  • Prepare monthly consolidated P&L and Balance Sheet flux analysis for management reporting
  • Work with business partners to ensure compliance with corporate accounting policies, procedures and controls and provide support on special requests
  • Provide analysis on financial results (trends, performance metrics, benchmarks)
  • Assist in coordinating quarterly reviews and SOX testing with internal and external auditors
  • Prepare Balance Sheet account reconciliations
  • Dedication to continuously improve the automation of the accounting and reporting process
  • Participate in various department-wide initiatives
  • Ad-hoc projects as necessary
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Facilities & Technology Coordinator

We are looking for a Facilities & Technology Coordinator to support daily campus...
Location
Location
United States , Chattanooga
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree in information technology or a comparable technical certification
  • Experience supporting technology operations, facilities coordination, school administration, or a similar environment
  • Working knowledge of troubleshooting and installing hardware and software across both PC and Mac platforms
  • Familiarity with computer hardware, associated peripherals, and basic cable installation practices
  • Ability to organize competing priorities while providing responsive service to staff, students, and external vendors
  • Strong communication skills with the ability to document issues clearly and escalate them when needed
  • Experience with asset tracking, device inventory systems, or operational recordkeeping is preferred
  • Background with Dell technologies and Apple devices is helpful for success in this role.
Job Responsibility
Job Responsibility
  • Oversee the full lifecycle of school-issued devices by coordinating distribution, returns, tracking, and repair follow-up for students and employees
  • Maintain accurate records for technology and operational assets, including routine audits to confirm inventory accuracy and accountability
  • Act as the on-site point of contact for external technology, telecommunications, security, copier, and facilities partners while coordinating campus access for service work
  • Provide day-to-day support for faculty and staff with desktops, laptops, Apple devices, printers, software, and classroom audiovisual tools
  • Assist students and instructional teams with device-related issues involving iPads, Chromebooks, and online testing platforms
  • Manage building access tools such as cards, fobs, and related credentials, and support security camera access, footage requests, and repair coordination
  • Support school operations systems and campus resources, including cafeteria software, visitor management platforms, digital signage, and two-way radio inventory
  • Coordinate copier and printer supplies, submit service requests, and arrange repairs to minimize disruption to school activities
  • Deliver audiovisual setup and live production support for ceremonies, performances, graduations, and other campus events, including streaming and recording needs
  • Handle facilities-related requests, rental coordination, and issue escalation by communicating concerns to the appropriate internal contacts or third-party vendors
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Registered Dietitian

The Registered Dietitian I helps to provide a nutritionally sound and cost-effic...
Location
Location
United States , Keller
Salary
Salary:
Not provided
aramark.co.uk Logo
Aramark UK
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous relevant working experience preferred
  • Requires a bachelor's degree at an accredited institution with course work accredited or approved by the appropriate nutrition and dietetics agencies
  • Earn and maintain applicable certifications, registrations, licenses, credentials, and continuing education requirements by the appropriate accredited local agencies
  • Formal eligibility to practice dietetics in geographic location where applicable
  • Ability to maintain a friendly, efficient, positive customer service attitude toward customers, clients, and co-workers
  • Ability to maintain a contagious and positive work ethic and inspire others
Job Responsibility
Job Responsibility
  • Plans menus in accordance with Aramark guidelines
  • Visits school cafes on a regular basis
  • Supports the maintenance of recipe development, menu production, and foodservice management standards
  • Supports nutrient analysis for all food items served
  • Educates clients and consumers, regarding healthy food choices through school training and community outreach
  • Assists with new employee training
  • Works with management and supervisors to ensure delivery of quality food services
Read More
Arrow Right
New

Manager Managed Care

This position is responsible for managing daily activities as assigned by System...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree preferred
Job Responsibility
Job Responsibility
  • Assists the point person to the hospital leadership teams and business offices for the assigned CHRISTUS region(s) for all managed care related aspects, including contract performance and operational issues
  • Carries out appropriate managed care related education and training including roll out of new payor contracts
  • Assists in payor/plan dispute resolution projects or any other special projects
  • Responsible for coordinating payer credentialing & re-credentialing activities
  • Works with the hospital business offices with regard to tracking and reducing managed care denials and underpayments, including restitution or other prompt pay penalties
  • Knowledge of Federal and Texas general regulatory environment related to managed care and participates in legislative advocacy activities as appropriate
  • Monitor implementation managed care contracts for all CHRISTUS Health Providers
  • Develop payer performance and monitoring tools
  • Conduct data analyses/reports to the assigned System Director or Director on payments and operational issues associated with Managed Care contract language
  • Fulltime
Read More
Arrow Right