We are hiring a Provider Enrollment and Credentialing Manager to own provider onboarding and payer enrollment end to end. Credentialing is the primary constraint on this business. A provider who is not enrolled cannot be scheduled and cannot be paid. The work is less about completing applications than about diagnosing why an enrollment silently failed and getting a payer to fix it. This role owns that timeline. It is also a build role. The function works, but it runs on spreadsheets, portals, and institutional memory rather than on systems. We want someone who will fix that. Responsibilities Provider onboarding Own onboarding for new providers end to end: collect and verify every document credentialing requires. Own the chase. Providers are busy clinicians and documents arrive late, so most onboarding delays are a follow-up problem rather than a process problem. Keep each provider's document set current and track expiration dates so nothing lapses. Payer enrollment and credentialing Manage initial enrollment, re-credentialing, and revalidation across Medicare, Medicaid, and commercial payers. Handle both individual and group enrollment, and link rendering providers to the group entity so claims will actually pay. Diagnose enrollment failures rather than just resubmitting them. Maintain CAQH profiles and an internal master credentialing record covering licenses, certifications, coverage, and expiration dates. Track effective dates by provider and by payer, and publish status in a form the rest of the company can act on. Support expansion into new payers and new states. Payer relationships and escalation Call payers directly and persist until you reach someone who can actually answer. Review and resolve payer contracts, including entity name mismatches, incorrect addresses on file, and effective dates that do not match what was agreed. Work with billing when a credentialing defect surfaces downstream as a denial, and drive corrected claim resubmission. Systems and leadership Create, own, and continuously improve the systems this function runs on. Today much of the work lives in spreadsheets, payer portals, and people's heads, and it should not. Work with management to build tracking that shows, at any moment, where every provider stands with every payer, and to surface where the process is stalling. Find the bottlenecks and remove them. Automate what can be automated, standardize what cannot, and document all of it so the process survives any one person. Supervise a credentialing specialist. Give the scheduling team an accurate live picture of which providers can see which patients under which plans. Communicate directly with providers about enrollment status, including the hard conversations when approvals are slow. What matters most These are the things we cannot teach. If you bring them, we will teach you the rest. Persistent to a fault. Most of the hard problems in this role are solved by someone who refuses to accept the first answer they are given. Comfortable asking a provider for the same document a fourth time and actually getting it. Organized enough to hold a live picture of dozens of providers across multiple payers and states without losing track of any of them. A builder. You notice when something is being done the same manual way for the tenth time and you fix it instead of doing it an eleventh. Coachable and quick. There is a large body of specific mechanics here and we will teach it, but you need to retain what you learn the first time. Comfortable owning a number. You will be measured on time to enrollment and on how many providers are fully live. Strong written communication for payer correspondence and provider updates. Experience we value Preferred, not required. A strong candidate without this background will still be considered. Three or more years in provider enrollment and credentialing, with hands-on Medicaid and Medicare experience. Multi-state is a significant plus.

Fluency in the mechanics:

individual versus group

NPI, CAQH, PECOS, MCO

delegation, revalidation cycles, effective dates, and retroactive billing windows. Supervisory experience, or clear readiness to supervise. Comfort with spreadsheets, tracking tools, and process automation. Broader healthcare administration, revenue cycle, or medical billing background. If you do not have the background Apply anyway. In your application, tell us about a time you owned a messy problem end to end and would not let it go until it was fixed.

Pay:

$50,000.00 - $65,000.00 per year

Benefits:

Paid time off

Work Location:

In person