Sr Manager, Credentialing - North Carolina, USA
1 day ago

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.
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