Sr Manager, Credentialing - North Carolina, USA

Only for registered members North Carolina, USA, United States

1 day ago

Default job background
Role SummaryThe Senior Manager, Provider Credentialing leads credentialing and re-credentialing operations across a national dental network of 400+ clinics. This role owns end-to-end credentialing performance, including team leadership, external vendor management, field coordinat ...
Job description
Role SummaryThe Senior Manager, Provider Credentialing leads credentialing and re-credentialing operations across a national dental network of 400+ clinics.

This role owns end-to-end credentialing performance, including team leadership, external vendor management, field coordination, and process optimization to reduce turnaround times and improve visibility.

 
Key Responsibilities

Own credentialing, re-credentialing, and provider termination processes for 400+ clinics.
Lead and develop a team of 4+ credentialing resources supporting intake, terminations, and re-credentialing.
Manage external credentialing vendors and delegated credentialing partners; define, monitor, and enforce SLAs for turnaround time and quality.
Provide clear visibility into credentialing status, prioritization, and risks to field and operations leaders.
Coordinate closely with clinic operations, payor relations, and RCM to support provider starts, clinic readiness, and revenue activation.
Continuously improve controllable steps in the credentialing process to reduce cycle times from application creation through submission and approval.
Establish and track KPIs related to backlog, turnaround time, submission quality, and vendor performance.

Qualifications

7+ years of experience in provider credentialing, payor enrollment, or healthcare operations.
3+ years of people-management experience in a high-volume, multi-site environment.
Experience managing delegated credentialing and third-party vendors with defined SLAs.
Strong operational, analytical, and process-improvement skills.
Dental or multi-site healthcare experience preferred.


Similar jobs

  • Work in company Remote job

    Credentialing Manager

    Only for registered members

    The Credentialing Manager is responsible for overseeing provider and facility credentialing and payer enrollment activities to ensure timely submissions consistent follow-up and accurate documentation through completion. · ...

    Chapel Hill, NC

    1 week ago

  • Work in company

    Credentialing Specialist

    Only for registered members

    Raleigh Radiology is seeking a detail-driven Credentialing Specialist to join their growing team in a fast-paced healthcare environment. · ...

    Raleigh, NC

    1 week ago

  • Who we are · Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it's easy to find a high-quality therapist o ...

    Raleigh $95,000 - $160,000 (USD) per year

    4 hours ago

  • PMHNP with CA License · The opportunity: · Location requirement: This opportunity is only open to Psychiatric Mental Health Nurse Practitioners (PMHNPs) who hold an active, unrestricted license · to practice in the state of California . This is an independent contractor opportuni ...

    Raleigh $95,000 - $160,000 (USD) per year

    8 hours ago

  • Work in company

    Contract Specialist II

    Only for registered members

    The North Carolina Department of Public Instruction is seeking a dynamic and enthusiastic individual to join our Agency Financial Services Purchasing and Contracts Section as a Contract Specialist II. · The Division of Financial Services performs all state-level financial plannin ...

    Wake County, NC $58,613 - $86,059 (USD) Full time

    1 month ago

  • Work in company

    Specialist, Credentialing

    Only for registered members

    We are hiring an experienced Credentialing Specialist to be responsible for all aspects of payor enrollments, credentialing onboarding, re-credentialing with payors and the privileging process for all medical providers who provide patient care at FastMed Urgent Care and FastMed P ...

    Raleigh, NC, US

    1 week ago

  • Who we are · Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it's easy to find a high-quality therapist o ...

    Raleigh $170,000 - $320,000 (USD) per year Freelance

    8 hours ago

  • General NotesThe Dell Medical School in conjunction with Dell Children's Medical Center of Central Texas (DCMCCT), is seeking Advanced Practice Nurses or Physician Assistants to be part of the Texas Center for Pediatric and Congenital Heart Disease. These individuals will work co ...

    Raleigh

    11 hours ago

  • Work in company

    Credentialing Specialist

    Only for registered members

    Raleigh Radiology is seeking a detail-driven Credentialing Specialist to manage complex credentialing processes in a fast-paced healthcare environment.Manage initial and re-credentialing for providers. · Complete payor credentialing enrollments and renewals. · Maintain provider l ...

    Raleigh

    1 week ago

  • Work in company

    Adult Mental Health Therapist

    SonderMind Careers

    Mental Health Therapist at SonderMind Careers summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cu ...

    Raleigh $55,000 - $110,000 (USD) per year

    16 hours ago

  • Work in company

    Team Lead, Credentialing

    Only for registered members

    We are a medical specialty certifying board serving anesthesiologists. Since 1938, we have been administering certification exams and today we take an innovative approach to certification and continuous learning. We foster practice standards that instill confidence and trust that ...

    Raleigh, NC, US

    1 week ago

  • Work in company

    Licensed Psychiatrist

    Only for registered members

    SonderMind is designed for psychiatrists who want the clinical freedom of private practice without the financial risk and administrative complexity. · ...

    North Carolina

    1 week ago

  • Work in company

    Managed Care Contracting Manager

    Only for registered members

    · First Responder Health is dedicated to serving those who serve others. Through our family of companies, we provide comprehensive, proactive, and reactive wellness and resilience resources exclusively for public safety professionals. Our mission is to support first responders i ...

    Irvine, CA, US $85,000 - $140,000 (USD) per year

    2 days ago

  • Work in company

    Mental Health Therapist

    SonderMind Careers

    · Mental Health Therapist at SonderMind Careers summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with ...

    Raleigh $65,000 - $120,000 (USD) per year

    8 hours ago

  • Work in company

    Mental Health Therapist

    SonderMind Careers

    · Mental Health Therapist at SonderMind Careers summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with ...

    Raleigh $65,000 - $120,000 (USD) per year

    8 hours ago

  • Work in company

    Psychiatrist for a Group Practice

    Only for registered members

    We offer a unique opportunity for fully licensed mental health practitioners to own an outpatient practice with full clinical management support. · ...

    Raleigh, NC

    3 weeks ago

  • General Notes · Dell Medical School in conjunction with Dell Children's Medical Center of Central Texas (DCMCCT), is seeking Physician Assistants with cardiac critical care credentials to be part of the Texas Center for Pediatric and Congenital Heart Disease, working collaborativ ...

    Raleigh

    8 hours ago

  • Work in company

    Psychiatrist - Telehealth - Flex Scheduling

    Only for registered members

    Are you a Board Certified or Board Eligible Psychiatrist seeking a rewarding remote opportunity with unparalleled flexibility? Join our team and provide essential mental health care from anywhere in the US We offer a supportive environment with guaranteed pay for last-minute canc ...

    Raleigh Contract

    20 hours ago

  • Work in company

    Registered Nurse

    Only for registered members

    Espirita is seeking skilled and compassionate Medical-Surgical Registered Nurses to join a respected healthcare facility in North Carolina. · Administer medications and monitor patient responses · Perform assessments and implement evidence-based care plans · ...

    North Carolina

    1 week ago

  • Work in company

    Asbestos & Lead Sampling Technician

    Only for registered members

    Abatement Testing Services is hiring a licensed Sampling Technician to perform asbestos and lead sampling for our environmental services division. · ...

    Raleigh, NC

    1 week ago