The Senior Manager, Credentialing & Enrollment oversees the operations of the Imagine Pediatrics Credentialing department to develop and manage Provider Licensure, Medicaid Enrollment, Health Plan Credentialing and Re-Credentialing with payer partners for a multi-specialty telehealth group across 5+ markets. You will manage staff, supervise day-to-day management of Provider Licensure and Enrollment applications, and manage the Credentialing Program.
We are looking for Duet’s first credentialing hire to drive our credentialing operations and ensure excellence in quality and compliance. This individual is responsible for handling and coordinating the credentialing process for new and established providers at Duet.
The Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers in Privia’s high-performance medical group. Follows documented process to ensure timely processing of Primary Source Verification completion for initial and recredentialing. Works with both internal and external stakeholders to resolve complex provider credentialing issues.