Credentialing Manager

Company: Sunbelt Healthcare LLC
Location: Tucson
Posted on: June 1, 2025

Job Description:

Description: The Credentialing Manager position requires an organized individual with good time management skills, previous management as well as medical provider credentialing and privileging experience. The Credentialing Manager is responsible for ensuring that all credentialing and privileging responsibilities are completed accurately and on time. Summary of Duties:Primary duties include but are not limited to the following:80% of the time: Department Management- Receives client requests for provider credentialing and privileging and distributes assignments to maintain efficient staff productivity - Maintains department training program and performs new employe training - Audits credentialing and privileging tasks and work product to maintain compliance with NCQA standards - Weekly updates to VP of department metrics - Communications with staff, vendors, client representatives and providers to address issues and provide updates per department policy. 10% of the time: Perform Enrollment, Credentialing + Privileging tasks- Performs enrollment and provider credentialing and/or privileging as necessary to ensure timely completion of assigned work10% of the time: Reporting - Weekly updates to VP of department - Updates to clients as directed by VP - Reporting to other internal departments as directedRequirements:Education and Training:High school diploma or equivalent (Required)Bachelor's degree in health care administration, finance, business, or related field (Preferred)Knowledge and Experience:Four (4) years' previous experience performing and/or managing a medical provider credentialing department or in a related healthcare administrative positionPrior experience in managing or supervising delegated credentialing or auditing credentialing performance in compliance with NCQA standards highly preferredSkills and Abilities:Able to multitask, prioritize, and manage time efficientlySelf-motivated and self-directed; able to work without supervisionExcellent verbal and written communication skillsProficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plusStrong customer service skills and comfortable answering client and provider questionsAble to analyze problems and strategize for better solutionsWork Location: In personPay: DOE; with semi-monthly pay schedule.Job Type: Full-timeFull time Benefits:401(k) + Financial AdvisorsLife + AD&D insuranceMedical, Vision, Dental insuranceShort- and Long-term Disability insuranceEmployee assistance program (EAP)Flexible scheduleHealth savings account (HSA)Paid Sick LeavePaid Vacation LeavePaid Holiday LeaveSchedule:Day shiftMonday to FridayAbility to commute/relocate:Tucson, AZ 85716: Reliably commute or planning to relocate before starting work (Required)PI189d7a20c39d-25660-37496864

Keywords: Sunbelt Healthcare LLC, Sierra Vista , Credentialing Manager, Executive , Tucson, Arizona