Job Type: Full-time

Remote: Remote

Credentialing & Enrollment Manager (Remote)Schedule: Monday – Friday | 9:00 AM – 6:00 PM ESTEmployment Type: Full-TimeIndustry: Healthcare Credentialing & Provider EnrollmentAbout the OpportunityA rapidly growing healthcare services organization is seeking an experienced Credentialing & Enrollment Manager to lead provider credentialing, payer enrollment, and contracting operations across multiple states and payer networks.The ideal candidate will have extensive experience managing provider enrollment projects, working directly with commercial and government payers, and leading a credentialing team in a fast-paced healthcare environment.This is a fully remote position with long-term growth opportunities for professionals who are passionate about operational excellence and healthcare compliance.Key Responsibilities- Manage end-to-end provider credentialing and enrollment processes.- Oversee Medicare, Medicaid, and Commercial Insurance enrollments.- Ensure timely submission and follow-up of provider applications.- Manage CAQH, PECOS, NPPES, and payer portal updates.- Track credentialing status and maintain accurate provider records.- Coordinate with providers, payers, and internal stakeholders.- Handle recredentialing, demographic updates, and provider maintenance.- Monitor enrollment timelines and resolve application delays.- Develop and improve credentialing workflows and SOPs.- Lead, train, and mentor credentialing specialists.- Ensure compliance with payer, state, and federal requirements.- Prepare credentialing reports, dashboards,



and performance metrics.Required Qualifications- 7+ years of healthcare credentialing and provider enrollment experience.- 2+ years of leadership or team management experience.- Strong knowledge of:- Medicare Enrollment- Medicaid Enrollment- Commercial Payer Credentialing- CAQH- PECOS- NPPES- Availity- Provider Contracting- Experience working with multi-state provider enrollments.- Excellent communication and organizational skills.- Ability to manage multiple projects simultaneously.- Strong attention to detail and problem-solving skills.Preferred Qualifications- Experience managing remote credentialing teams.- Knowledge of physician, behavioral health, therapy, home health, DME, or facility credentialing.- Experience with credentialing software and CRM systems.- Bachelor's degree in Healthcare Administration, Business Administration, or related field.Work From Home RequirementsApplicants must have:1.Dedicated and quiet workspace with minimal background noise2.Windows 11 computer/laptop (required)3.Reliable high-speed internet with minimum 100 Mbps download speed4.Backup power and internet preferred5.Webcam and headset for virtual meetings6.Ability to work during U.S. Eastern Standard Time (EST) business hoursWhat We Offer- Competitive compensation- 100% Remote Work Environment- Skilled growth opportunities- Team-oriented and supportive team culture- Long-term career advancementHow to ApplyIf you have a proven track record in provider credentialing, enrollment management, and healthcare operations, we'd love to hear from you.Apply through with your updated resume and a brief summary of your credentialing experience.#Credentialing #ProviderEnrollment #HealthcareJobs #RemoteJobs #CredentialingManager #HealthcareOperations #MedicalBilling #RevenueCycleManagement #WorkFromHome #HiringNow

📌 Credentialing & Enrollment Manager (Remote) (Gulbarga)
🏢 Confidential Hires
📍 Gulbarga