Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
Credentialing Manager
El Segundo, CA · On-site
Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
Credentialing Manager
El Segundo, CA · On-site
Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
Supervise/manage the day-to-day operational functions of credentialing and recredentialing process ... Maintain comprehensive working knowledge of contractual relationships including credentialing and ...
MANAGER OF PAYOR CONTRACTING and CREDENTIALING JOB SUMMARY: * Oversee administrative management of ... Regulatory and contractual compliance * Detail-oriented execution * Risk awareness and escalation
MANAGER OF PAYOR CONTRACTING and CREDENTIALING JOB SUMMARY: * Oversee administrative management of ... Regulatory and contractual compliance * Detail-oriented execution * Risk awareness and escalation
MANAGER OF PAYOR CONTRACTING and CREDENTIALING JOB SUMMARY: * Oversee administrative management of ... Regulatory and contractual compliance * Detail-oriented execution * Risk awareness and escalation
MANAGER OF PAYOR CONTRACTING and CREDENTIALING JOB SUMMARY: * Oversee administrative management of ... Regulatory and contractual compliance * Detail-oriented execution * Risk awareness and escalation
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify ...
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify ...
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify ...
Quick apply
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify ...
Director of Credentialing
Denver, CO · On-site +1
$115K - $130K/yr
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
Director of Credentialing
Denver, CO · On-site +1
$115K - $130K/yr
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
Ensures timely and compliant credentialing operations through effective management of work ... ensure compliance with contractual, regulatory, and accreditation requirements. Directs ...
Ensures timely and compliant credentialing operations through effective management of work ... ensure compliance with contractual, regulatory, and accreditation requirements. Directs ...
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements.
Credentialing and Contract Manager
Austin, TX · On-site
$75K - $80K/yr
As a key member of Advanced Pain Care's leadership team, the Credentialing and Contract Manager is ... Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements.
Director of Credentialing
Birmingham, AL · On-site
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
Director of Credentialing
Birmingham, AL · On-site
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
Director of Credentialing
$115K - $130K/yr
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
Quick apply
Director of Credentialing
$115K - $130K/yr
Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. * Evaluate vendor capabilities, negotiate service agreements ...
People Management & Team Leadership: * Lead and manage a team of Credentialing Specialists and ... Monitor the contractual Service Level Agreement, turnaround times, and quality metrics; drive ...
People Management & Team Leadership: * Lead and manage a team of Credentialing Specialists and ... Monitor the contractual Service Level Agreement, turnaround times, and quality metrics; drive ...
Manages work with legal counsel on issues related to certification or credentialing matters ... Collaborates with Business Development Department on any contractual obligations or marketing ...
Manages work with legal counsel on issues related to certification or credentialing matters ... Collaborates with Business Development Department on any contractual obligations or marketing ...
Credentialing Specialist
Oconomowoc, WI · On-site +1
Remain aware of contractual adjustments that may impact provider affiliations and/or payment ... Complete projects as assigned by Credentialing Manager * Regular assistance with and dissemination ...
Credentialing Specialist
Oconomowoc, WI · On-site +1
Remain aware of contractual adjustments that may impact provider affiliations and/or payment ... Complete projects as assigned by Credentialing Manager * Regular assistance with and dissemination ...
... contractual requirements prior to providing services. The Credentials Specialist serves as the ... Manage and oversee all credentialing activities for: * Registered Nurses (RNs) * Licensed ...
New
... contractual requirements prior to providing services. The Credentials Specialist serves as the ... Manage and oversee all credentialing activities for: * Registered Nurses (RNs) * Licensed ...
New
... contractual requirement and identify areas for improvement. * Provide productivity and issues reports for Management. * Remain current on policies affecting provider credentials and enrollment ...
... contractual requirement and identify areas for improvement. * Provide productivity and issues reports for Management. * Remain current on policies affecting provider credentials and enrollment ...
... contractual requirement and identify areas for improvement. * Provide productivity and issues reports for Management. * Remain current on policies affecting provider credentials and enrollment ...
... contractual requirement and identify areas for improvement. * Provide productivity and issues reports for Management. * Remain current on policies affecting provider credentials and enrollment ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
Contractual Credentialing Manager information
See salary details
$43.5K - $51.5K
3% of jobs
$51.5K - $59.5K
4% of jobs
$64.1K is the 25th percentile. Wages below this are outliers.
$59.5K - $67.5K
30% of jobs
The median wage is $72.1K / yr.
$67.5K - $75.5K
22% of jobs
$75.5K - $83.5K
12% of jobs
$88.5K is the 75th percentile. Wages above this are outliers.
$83.5K - $91.5K
6% of jobs
$91.5K - $99.5K
6% of jobs
$99.5K - $107.5K
4% of jobs
$107.5K - $115.5K
5% of jobs
$115.5K - $123.5K
3% of jobs
$123.5K - $131.5K
3% of jobs
$43.5K
$85K
$131.5K
How much do contractual credentialing manager jobs pay per year?
What is the difference between Contractual Credentialing Manager vs Credentialing Specialist?
| Aspect | Contractual Credentialing Manager | Credentialing Specialist |
|---|---|---|
| Certifications | Healthcare credentials, industry-specific certifications | Similar healthcare credentials, certification often preferred |
| Work Environment | Healthcare organizations, insurance companies, staffing agencies | Hospitals, clinics, healthcare provider offices |
| Employer & Industry Usage | Used in healthcare management, staffing, and credentialing firms | Common in healthcare facilities managing provider credentials |
The Contractual Credentialing Manager oversees credentialing processes, often managing contracts and compliance, while the Credentialing Specialist handles day-to-day credential verification and data entry. Both roles require healthcare credentials but differ in scope and responsibilities within healthcare organizations.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 14 hours ago
Behavior Frontiers rating
7.0
Based on 30 frontline employees who took The Breakroom Quiz
404th of 877 rated healthcare providers
Job description
Description
- Supervise/manage the day-to-day operational functions of credentialing and recredentialing process and personnel to include workflow management, troubleshooting, log management, process updates, reporting and training.
- Create and maintain individual provider files including credentialing status and supporting documentation.
- Track and ensure accuracy of new/promoted provider credentialing and/or application status in database, and make updates for existing providers.
- Act as a resource for other managers and coworkers and respond to internal and external requests for credentialing information and documentation.
- Work closely and transparently with internal departments and external partners.
- Regularly report updated provider and location rosters to funding sources and internal departments.
- Support contract develop goals to include researching new funding sources, unique contracting process requirements, data gathering, forms completion, submissions, tracking, follow up and reporting.
- Keep abreast of relevant legal, regulatory, and legislative changes related to credentialing, contracting and licensing.
- Maintain comprehensive working knowledge of contractual relationships including credentialing and contracting requirements by funding source.
- Develop and maintain positive and cooperative relationships with funding source representatives and coworkers.
- Contribute to the on-going development of new funding sources.
- Complete special projects as assigned.
- Maintain confidentiality in matters of company operations, personnel, and clients.
- Perform other duties, as assigned.
- 3-5 years credentialing experience in the Behavior Health or related industry
- Knowledge of NCQA credentialing guidelines
- Experience developing and maintaining relationships with a variety of funding sources
- Must be self-directed, exercise initiative, discretion and seek guidance as appropriate
- Superior organizational and multi-tasking abilities with high attention to detail
- Ability to make sound decisions, prioritize effectively and problem solve
- Ability to effectively and professionally represent BF to funding sources and external partners
- Ability to work independently in a fast-paced environment, flexible and adaptable
- Excellent verbal and written communication skills
- Bachelor’s degree required
- Provide negative TB test results
- Ability to clear FBI & DOJ fingerprinting
- Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule!
- 401K Plan with company match after 6 months of employment
- Paid Personal Time Off
- Paid Holidays
- Paid Sick Leave
- Medical, Dental and Vision insurance
- Opportunities for career advancement
- Performance and promotion raise
- Paid Maternity Leave - Up to 9 Weeks
- Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays
- Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays
- Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.)
- Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos
- Deals: Exclusive discounts and savings to 500+ companies and more!
- Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more!
- Lab Testing Discounts: 10-80% off costs of routine lab work
- New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide
Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!
Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.
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Benefits
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About Behavior Frontiers
Sourced by ZipRecruiter
Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare.
Industry
Individual, family and community social assistance
Company size
201 - 500 Employees
Headquarters location
Los Angeles, CA, US
Year founded
2004