Manager Provider Credentialing & Enrollment

Lead provider credentialing and enrollment operations for physicians, APPs, and facilities, ensuring accurate primary source verification, licensure monitoring, and timely payer enrollment across Medicare, Medicaid, and managed care networks. Oversee audit-ready record maintenance, exclusion screening, and compliance with CMS, ACHC, and NCQA standards while driving process improvement and automation initiatives. Manage team productivity, establish service expectations, and collaborate with Medical Staff Services, Revenue Cycle, and Health System leadership to support seamless onboarding and uninterrupted reimbursement. Maintain enterprise data integrity and monitor KPIs for turnaround times and quality metrics to ensure regulatory readiness.