<p>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.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm CST</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li>Coordinate and manage provider credentialing and payer enrollment processes, ensuring all policies and procedures are followed.</li><li>Maintain and enhance the internal credentialing database for accuracy, renewals, and reporting.</li><li>Oversee the management of provider licenses, certificates, and credentialing documents, ensuring timely renewals and proper notifications.</li><li>Track and report on application turnaround times and facilitate credentialing audits as needed.</li><li>Supervise and support the credentialing team, providing training, allocating work, ensuring policy compliance, and resolving issues.</li><li>Ensure credentialing records (e.g., NPPES, PECOS, CAQH) are up-to-date for all providers.</li><li>Foster compliance with organizational, state, and federal requirements, and uphold health equity and racial equity values throughout credentialing practices.</li></ul>
