Manager, Licensing & Credentialing
RoFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates should have at least seven years of experience in credentialing, with at least five years in people management of a team of three or more. Previous experience managing credentialing functions in Verifiable and Athena is preferred. CPCS or CPMSM certification, or progress towards certification, is highly preferred. Strong knowledge of licensure and Medicaid guidelines across multiple markets, excellent communication skills with internal stakeholders at all levels, and strong organizational and detail-oriented skills are also required.
The Senior Manager, Credentialing & Enrollment will oversee the Credentialing department's operations, managing staff responsible for provider licensure, Medicaid enrollment, and health plan credentialing and re-credentialing. This includes supervising daily operations, managing the credentialing program for regulatory compliance, executing policies and procedures for accurate application processing, and facilitating the Credentialing Committee. The role also involves acting as a liaison with state boards and health plans, analyzing application trends, ensuring department deadlines are met, developing policies and training documentation, and managing the credentialing platform's configuration and maintenance.
24/7 virtual pediatric care and support
Imagine Pediatrics offers 24/7 virtual pediatric care customized for children with medical complexity, providing unlimited access to care via messaging, phone call, or video visit, and coordinating with the child's existing care team. Their multidisciplinary team of pediatricians, nurses, social workers, and care coordinators delivers high-quality, virtual-first care and support, with services currently available in Texas and Florida.