Credentialing Manager Jobs in Silver Spring, MD (NOW HIRING)

About Enlightened

Enlightened is seeking a Credentialing Administrative Support Coordinator to support one of our healthcare clients serving the DC Medicaid population. This position is an employee of Enlightened and is dedicated full-time at our client's site. The selected candidate will support provider credentialing and enrollment operations while helping maintain compliance across the provider network.

Position Overview

Location: Washington, DC (SW office — within walking distance of two Metro stations)

Work Arrangement: ***This position offers a hybrid work schedule, requiring employees to work in the office four days a week and one day remotely

The Credentialing Administrative Support Coordinator provides day-to-day administrative support to the credentialing and enrollment team. This role assists with collecting documentation, preparing provider files, tracking application statuses, and coordinating follow-up with providers and internal departments. MUST HAVE has at least two (2) years of credentialing experience, is highly organized, proactive, and comfortable working in a fast-paced, process-driven environment.

Key Responsibilities

• Collect, organize, and upload provider documentation required for credentialing and enrollment.
• Assist with completing credentialing applications using established templates and checklists.
• Maintain accurate electronic provider files and ensure all required documentation is current and properly labeled.
• Conduct outreach to providers and office staff to obtain missing information or clarify application details.
• Track outstanding items and follow up to ensure timely submission.
• Enter provider information into credentialing systems, spreadsheets, and tracking logs.
• Update status notes and documentation as applications move through the credentialing workflow.
• Submit and update internal tickets for provider setup and system activation.
• Perform quality checks to ensure provider files are complete before review.
• Support audit readiness by maintaining organized, compliant records.

Qualifications

• Minimum of two (2) years of experience supporting provider credentialing and enrollment operations is required.
• Experience working with provider credentialing files, applications, primary source verification documentation, and credentialing workflows is required.
• 1–2 years of administrative, healthcare operations, or office support experience preferred.
• Strong attention to detail and the ability to follow structured processes.
• Excellent organizational and time-management skills.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office (Outlook, Excel, and Word) and the ability to quickly learn new systems.
• Experience in credentialing, provider data management, provider enrollment, or health plan operations is a plus but not required.

What We're Looking For

• A reliable, detail-oriented team member who enjoys structured, process-driven work.
• Someone who can effectively manage multiple tasks while maintaining a high level of accuracy.
• A professional communicator who can interact confidently with providers and internal teams.
• A candidate who values compliance, organization, and timely follow-through.

Benefits:

At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:

• Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• 401(k) Retirement Plan
• Paid Holidays, Vacation, & Sick Leave
• Professional Training & Development Reimbursement

Please note, these benefits are available exclusively to full-time employees of Enlightened.

Equal Opportunity Statement

Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability, or any other federal, state, or local protected class.