Mindoula Health
A next-generation behavioral health management company, Mindoula Health delivers 24-hour tech-enabled solutions for care and case management and for psychiatric
Credentialing Manager
Location
United States
Posted
35 days ago
Salary
$65K - $80K / year
Seniority
Senior
Bachelor Degree3 yrs expEnglish
Job Description
• The Credentialing Manager leads the end to end credentialing, privileging, and payer enrollment function for the Managed Service Organization.
• Ensure timely, compliant provider onboarding while maintaining high standards of operational accuracy, audit readiness, and service excellence.
• Oversee full lifecycle credentialing, re-credentialing, privileging, and payer enrollment for all providers.
• Manage complex, escalated, or high priority credentialing cases.
• Support compliance and audit readiness practices, maintaining audit ready provider files and documentation standards.
• Provide day to day leadership, coaching, and workload management for credentialing specialists.
• Develop team capabilities through training and process documentation.
• Monitor turnaround times, application status, and enrollment effective dates.
• Partner with cross-functional teams for seamless provider onboarding and resolve credentialing related denials or reimbursement delays.
Job Requirements
- Bachelor’s degree preferred; relevant experience may substitute
- CPCS certification strongly preferred
- Minimum three years of credentialing experience including payer enrollment and privileging
- Prior supervisory or team lead experience required
- Strong knowledge of NCQA, CMS, and payer credentialing standards
- Proficiency with Google Suite, Excel or Sheets, credentialing databases, and workflow tools
- Exceptional organizational skills and attention to detail
- Ability to manage multiple deadlines in a high volume environment
- Strong judgment, problem solving ability, and professional communication skills
- Ability to lead with accountability while maintaining strong provider relationships.
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Manager35 days ago
Full TimeRemoteTeam 10,001+Since 1982H1B No Sponsor
Complex Claim Clinical Manager leading nursing teams at Evernorth Health Services
Manager35 days ago
Full TimeRemoteTeam 1,001-5,000Since 1977H1B Sponsor
Behavioral Health Case Manager supporting ACO members in care coordination
Massachusetts
Partners and Alliances Manager
CongaConga delivers the most scalable revenue lifecycle management solution to help companies crush operational complexity.
Manager35 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor
Partners & Alliances Manager driving partner network growth at Conga
Contracts Manager
CEG Solutions LLCWe deliver guaranteed sustainability, resiliency, and operational savings.
Manager35 days ago
Full TimeRemoteTeam 11-50Since 1998H1B No Sponsor
Contracts Manager leading negotiations for CEG Solutions' energy projects
Virginia




