Location: Remote (India) Job Type: Independent Contractor Work Schedule: Monday–Friday | U.S.
Business Hours About Fiesta Health Fiesta Health is a rapidly growing ABA provider serving children with autism throughout Georgia.
As we continue to expand, we are seeking an experienced Credentialing Manager to oversee all aspects of provider credentialing, payer enrollment, contract management, and payer relationship management.
This is not an entry-level credentialing position.
We are looking for someone with extensive experience credentialing BCBAs and ABA providers with Medicaid and commercial insurance companies in the United States.
The ideal candidate is comfortable communicating directly with insurance companies, resolving enrollment issues, negotiating contracts, and ensuring providers remain credentialed and in-network.
Position Overview The Credentialing Manager is responsible for managing the complete credentialing lifecycle for all providers and clinic locations.
This includes:



Initial credentialing Recredentialing Medicaid enrollments Commercial payer enrollments CAQH management Contract negotiations Rate negotiations Payer issue resolution Provider roster maintenance Ongoing payer relationship management This role requires someone who is proactive, persistent, highly organized, and comfortable spending a significant portion of the day communicating directly with insurance companies.
Key Responsibilities Provider Credentialing Complete initial credentialing for BCBAs, psychologists, physicians, and other providers.
Manage provider recredentialing.
Submit provider demographic updates.
Process provider additions and terminations.
Maintain provider credentialing records.
Medicaid & Commercial Payer Enrollment Manage enrollments with Medicaid and commercial payers, including: Georgia Medicaid (GAMMIS) CareSource Amerigroup Anthem BCBS Aetna Cigna / Evernorth UnitedHealthcare / Optum Humana Molina Additional commercial insurance plans Payer Relationship Managemen

📌 Credentialing Manager (India)
🏢 Fiesta Health
📍 India