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 Managem

📌 Credentialing Manager (India)
🏢 Fiesta Health
📍 India