Credentialing Manager jobs in United States
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United Vein & Vascular Centers · 1 day ago

Credentialing Manager

United Vein & Vascular Centers (UVVC) is a physician-led organization with over 45 clinics nationwide, delivering innovative vein and vascular care. The Credentialing Manager will lead provider onboarding, licensing, and enrollment, ensuring compliance and operational efficiency to support patient access and provider readiness.

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Responsibilities

Manage provider onboarding and credentialing for employed and contracted clinicians, ensuring all licensure, documentation, and regulatory requirements are met
Oversee licensing and renewals, coordinating with state medical boards to maintain uninterrupted practice eligibility
Lead hospital and SNF privileging processes for providers across markets
Ensure timely payer enrollment and re-enrollment, partnering with insurance companies to support accurate billing and reimbursement
Maintain and audit credentialing databases, including CAQH and internal tracking systems, ensuring accuracy and compliance
Monitor regulatory and accreditation requirements (NCQA, CMS, AAAHC, CAQH, state agencies) and recommend process improvements
Oversee malpractice enrollment and ongoing maintenance for all providers
Support re-credentialing and quality initiatives, collaborating with QI committees and internal stakeholders
Hire, train, coach, and evaluate credentialing team members, promoting accountability and development
Protect PHI and confidential information, ensuring full compliance with HIPAA and UVVC policies
Model UVVC’s Core Values—understanding, nurturing, ingenuity, trust, excellence, and diversity—through leadership and daily practice

Qualification

Provider credentialing experienceCPCS certificationMedicaid enrollment experienceNCQA regulationsExperience leading teamsAttention to detailCommunication skillsConfidentiality standards

Required

5+ years of provider credentialing experience
HS diploma/GED
Experience with Medicaid enrollment, hospital privileging, and managed care
Knowledge of NCQA, CMS, CAQH, AAAHC, and state regulations
Experience leading and developing direct reports
Strong attention to detail, communication skills, and confidentiality standards

Preferred

Bachelor's preferred
CPCS certification (preferred)

Benefits

Competitive compensation
Health, vision, and dental benefits
401(k) with company match
100% company-paid life insurance
PTO and paid holidays
Career growth and leadership development opportunities

Company

United Vein & Vascular Centers

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United Vein & Vascular Centers is a fast-growing healthcare company headquartered in Tampa, Florida, and currently has clinics throughout the country.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2022-11-29Acquired

Leadership Team

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Diane Fowler
Senior HR Business Partner
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Julie Cress
HR Business Partner III
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Company data provided by crunchbase