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Senior Credentialing Operations Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
-

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Contract Type:
Employment contract

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Salary:

67900.00 - 199144.00 USD / Year

Job Description:

Leads a business services unit that delivers credentialing services to business units in support of organizational objectives at CVS Health, caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.

Job Responsibility:

  • Lead business services unit delivering credentialing services
  • Communicate direction for Credentialing Operations processes
  • Analyze performance of company programs and initiatives
  • Formulate and implement strategy for credentialing operations unit
  • Counsel internal and external stakeholders on business review and credentialing services
  • Drive audit process including error correction and rebuttal
  • Review audit results for accuracy
  • Partner with network management and provider relations
  • Manage operational aspects of the team (budget, performance, compliance)
  • Implement workforce and succession plans
  • Manage team up to 20 employees

Requirements:

  • Minimum 5 years working with provider data, network, relations, or credentialing
  • Minimum 3 years managing/leading a team
  • Experience working in Medicare, Medicaid, or Commercial Health Insurance
  • Bachelor's degree preferred or combination of professional work experience and education

Nice to have:

  • Experience working in credentialing operations
  • Strong written and verbal communication
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
August 28, 2025

Expiration:
September 20, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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