Source Job

$90,000–$110,000/yr
US 3w PTO

  • Lead end-to-end provider onboarding and offboarding, including license pathways, compact assessments, and payer enrollments.
  • Oversee multi-state licensing, credentialing, and payer enrollment operations to prevent lapses and ensure compliance.
  • Manage and coach the L&C team, drive process improvements, and accelerate onboarding timelines.

Licensing Credentialing Payer Enrollment CAQH Team Leadership

17 jobs similar to Manager, Licensing & Credentialing

Jobs ranked by similarity.

US

  • End-to-end credentialing and payer enrollment for multi-state providers across commercial and Medicaid plans.
  • Vendor governance and SLA performance management to ensure timely provider onboarding.
  • Delegated credentialing and audit readiness, including NCQA and MCO compliance.

Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027.

$140,000–$160,000/yr
US 2w PTO

  • Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
  • Manage vendor relationships and resolve enrollment-related revenue cycle issues.
  • Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.

Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.

US Unlimited PTO

  • Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
  • Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
  • Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.

CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.

Global

  • Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
  • Accurately input, maintain, and update provider data across credentialing databases and internal systems.
  • Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.

Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.

US

  • Serve as a supportive point of contact for onboarding providers, guiding them through paperwork and expectations.
  • Collect, verify, and review provider credentials, applications, and CAQH profiles for accuracy and completeness.
  • Maintain tracking records, update internal databases, and collaborate with cross-functional teams to meet provider start dates.

Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to optimize practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, with a culture that encourages employees to bring their whole selves to work.

US

  • Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
  • Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
  • Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.

Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.

US

  • Oversee credentialing workflows, quality, and compliance standards to ensure provider satisfaction and regulatory adherence.
  • Develop effective credentialing strategies based on data analysis, regulatory requirements, and operational observations.
  • Manage credentialing staff, provide coaching and feedback, and drive turnaround time improvement initiatives.

Sutherland is a global digital transformation company combining AI, automation, cloud engineering, and advanced analytics for iconic brands. It creates over 200 inventions and pairs human expertise with AI to unlock performance and deliver measurable results.

Philippines

  • Manage end-to-end facility credentialing and privileging for providers across SNFs nationwide.
  • Prepare and track credentialing applications, facility packets, and compliance files.
  • Coordinate with facilities to resolve credentialing, access, and EMR issues in a timely manner.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for healthcare facilities, leveraging a global network to connect clients with qualified professionals. The company offers a flexible remote work environment where employees collaborate with an international team and contribute to a growing business.

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Humana is a leading U.S. healthcare company offering insurance and healthcare services through its Humana Insurance and CenterWell brands. It is a large organization focused on improving health outcomes and supporting associates with competitive benefits.

US

  • Lead end-to-end payer enrollment operations for a large enterprise client, standing up teams and workflows from day one.
  • Manage delivery against SLAs, run performance reviews, and own the client relationship and escalations.
  • Drive automation and process improvements, own account economics, and scale to a portfolio of enterprise clients.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance for healthcare organizations. They are a fast-growing healthcare technology company backed by $130M in funding and recognized as a best place to work, on a mission to transform healthcare at scale.

$30–$37/hr
US

  • Supervise and train the credentialing associate team to ensure high performance.
  • Document and refine insurance credentialing workflows and processes.
  • Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.

BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.

US

  • Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
  • Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
  • Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

Global Unlimited PTO

  • Lead multiple Team Leads overseeing credentialing operations, ensuring efficiency, accuracy, and compliance.
  • Own client health KPIs, drive performance metrics, and resolve escalations to ensure SLAs are met.
  • Partner with internal teams to optimize workflows, implement process improvements, and ensure business continuity.

CertifyOS builds the data infrastructure that powers modern healthcare by automating provider licensing and credentialing. Backed by leading investors, they have a high-ownership team focused on solving real infrastructure problems for millions of patients.

US

  • Own delegated credentialing operations across assigned payer relationships.
  • Manage payer audits, compliance reporting, and audit-ready credentialing files.
  • Support NP and group practice credentialing while partnering with internal teams.

Tava Health is reimagining mental health care to make it as accessible and stigma-free as a checkup, connecting patients with therapists and improving provider care. It is a fast-growing, mission-driven team leveraging technology to deliver high-quality mental health care to everyone.

$56,000–$63,000/yr
US

  • Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and governmental programs.
  • Perform primary source verification, maintain CAQH profiles, and update credentialing databases accurately.
  • Partner with client liaisons and payers to manage enrollment status, follow up on applications, and communicate updates to providers and clients.

BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies across the US. The firm is known for its client-centered, people-first culture and commitment to diversity, learning, and well-being.

US

  • Coordinate the end-to-end provider enrollment process, preparing and submitting applications to Medicare, Medicaid, and other payers.
  • Maintain accuracy of provider data in systems like NPPES, PECOS, and CAQH, and track facility privileging requirements.
  • Collaborate with internal teams to align enrollment timelines and ensure compliance with federal, state, and facility regulations.

Curana Health is a national leader in value-based care for older adults, providing primary care services and care coordination in senior living communities and skilled nursing facilities. Founded in 2021, the company serves over 200,000 seniors across 1,500+ communities and employs more than 1,000 clinicians, with a fast-paced, mission-driven culture.

$18–$21/hr
US

  • Manage standard onboarding workflows for physical therapist enrollment across contracted payers and partner networks.
  • Review provider credentials, prepare application packets, and maintain accurate database records for compliant credentialing.
  • Communicate with insurance carriers and internal teams to ensure timely enrollment and resolve routine barriers.

Luna is revolutionizing the delivery of physical therapy by providing in-home care through a digital platform. As a start-up with supportive leadership, they offer opportunities for growth alongside a dedicated team.