OneOncology · 21 hours ago
Manager, Credentialing
United States
Full-time
Remote
Senior Level
5+ years expOneOncology is a company focused on improving cancer care through a patient-centric model. The Credentialing Manager will lead the credentialing team, ensuring compliance with standards while managing the credentialing processes for healthcare providers.
Health CareOncology
Responsibilities
Lead a team of Credentialing Specialists to ensure timely and accurate processing of hospital applications and payer enrollments for multiple practice locations, proactively resolving delays or issues
Support the Credentialing Team by directly performing enrollment, credentialing, and license application/renewal functions when needed
Prioritize and ensure timely provider onboarding with routine communication regarding progress, delays, and needs
Serve as a leader by supporting administrative tasks such as interviewing candidates, leading education sessions, and offering support to the Credentialing Supervisors and Specialists
As necessary, conduct practice level assessments, document current work process, and develop a gap analysis to OO’s standard practices
Assist credentialing leadership with the design and management of policies and procedures related to the credentialing and enrollment processes, ensuring compliance with all regulatory and accreditation requirements
Support process improvement initiatives streamlining credentialing activities for assigned practices
Assist in the workflow design and implementation of new technology features released by our technology vendors
Serve as a subject matter expert and resource across the OneOncology platform for partner practices and internal departments
Work with leadership to develop standard reporting packages
Build and maintain relationships with external partners and payers and communicate with payers on questions or barriers in information
Coordinate with the Revenue Cycle Management team to triage questions related to licensing, credentialing and enrollment, assist in the resolution of claims denied due to credentialing and enrollment issues, and payor portal management
Other tasks as assigned to drive our mission of improving the lives of everyone living with cancer
Qualification
Required
5+ years credentialing/non-delegated enrollment experience required
3+ years Supervisory experience required, preferably in a credentialing/enrollment environment
Current working knowledge/expertise of enrollment processes with Commercial and Government payors is required
Preferred
Experience leading credentialing and enrollment activities in large provider practice (or multiple practices) is highly preferred
Bachelor's degree preferred
Training experience preferred but not required
Certifications preferred but not required
Remote work capability with flexibility for travel as needed
Company
OneOncology
OneOncology is a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the US. It is a sub-organization of General Atlantic.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Cencora
2025-12-12Acquired
2023-04-20Secondary Market
Leadership Team
Davey Daniel
Chief Medical Officer
Recent News
2026-01-05
2025-12-18
Company data provided by crunchbase