Credentialing Manager jobs in United States
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Allevio · 2 weeks ago

Credentialing Manager

Allevio is a company dedicated to empowering healthcare practice owners by streamlining operational functions. They are seeking a Credentialing Manager to manage end-to-end provider credentialing and payer enrollment, ensuring compliance and efficiency in the credentialing process.

Hospital & Health Care

Responsibilities

Own full-cycle provider credentialing and payer enrollment across all states and entities
Manage provider onboarding requirements including CAQH, PECOS, NPI, DEA, state licenses, payer contracts, and re-credentialing
Track credentialing timelines, expirables, and renewals to ensure ongoing compliance
Proactively identify and resolve credentialing issues that could delay billing or revenue
Serve as the primary point of contact for providers, payers, and internal stakeholders
Maintain accurate documentation and audit-ready credentialing files
Build and maintain standardized credentialing workflows, checklists, and SLAs
Partner with internal teams and external vendors to improve turnaround times
Track and report on credentialing KPIs (time to credential, enrollment status, revenue impact)
Support onboarding of new practices and providers during growth and M&A activity
Identify opportunities for process improvements and increased efficiency
Work closely with Revenue Cycle and Finance to minimize credentialing-related revenue delays
Support providers with credentialing questions and guidance throughout onboarding
Ensure compliance with payer requirements and healthcare regulations
Contribute to documentation, dashboards, and reporting to support scale

Qualification

Provider CredentialingPayer EnrollmentMulti-state RequirementsCAQHPECOSNPIService-oriented MindsetCommunicationDetail-oriented

Required

4–7+ years of experience in healthcare provider credentialing and payer enrollment
Strong knowledge of multi-state credentialing requirements and payer processes
Experience working with CAQH, PECOS, NPPES, state licensing boards, and payers
Highly organized, detail-oriented, and deadline-driven
Comfortable managing multiple providers, payers, and timelines simultaneously
Strong communication skills and a service-oriented mindset

Preferred

Experience in a high-growth, multi-entity, or PE-backed healthcare environment

Benefits

Medical, dental, and vision insurance
401(k) with company match
Paid time off (PTO) and company holidays

Company

Allevio

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At Allevio, our mission is to revolutionize healthcare delivery by providing a seamless platform that elevates healthcare providers to their desired calling, and connects people to the care they need, wherever they may be.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase