Asst Mgr, Managed Care

Baptist Health • Orlando, FL

1d • Remote

About The Position

Assistant Manager, Managed Care (Credentialing) is a Fully Remote, Full-Time position, Monday – Friday, 8:00 AM – 5:00 PM CT. This role supports and leads credentialing operations across a dynamic healthcare network, ensuring providers are accurately credentialed and compliant. The position directly impacts patient access, reimbursement, and organizational success. The ideal candidate thrives in a fast-paced environment, enjoys leading teams, and is passionate about regulatory excellence. Baptist Health Medical Group is a physician-led group focused on compassionate care and clinical excellence, providing integrated care through an extensive network. They offer expert care in over 18 areas and include more than 600 physicians and advanced practice professionals.

Requirements

• 5+ years of experience in managed care and/or governmental payer credentialing
• Strong knowledge of credentialing regulations, policies, and accreditation standards
• Proven leadership skills with the ability to supervise workflows and mentor team members
• Excellent attention to detail and ability to manage multiple priorities in a deadline-driven environment
• Strong communication skills with the ability to collaborate across departments and with providers
• High School Diploma required

Nice To Haves

• Experience working with credentialing databases and reporting tools
• Ability to identify process improvements and implement solutions
• Strong analytical mindset focused on minimizing risk and ensuring compliance
• A collaborative, team-first approach with a commitment to excellence

Responsibilities

• Lead and coordinate credentialing and re-credentialing activities for physicians, advanced practice providers, and healthcare professionals.
• Ensure compliance with NCQA, URAC, Medicare, Medicaid, and managed care plan standards.
• Delegate and oversee workflow of Credentialing Specialists while maintaining high-quality output.
• Review completed provider files for accuracy, compliance, and risk mitigation.
• Serve as a subject matter expert and troubleshoot complex credentialing issues.
• Support physician onboarding and collaborate with internal departments to ensure seamless provider setup.
• Analyze reports and maintain credentialing database integrity to support claims and collections processes.
• Build and maintain relationships with managed care plans and government payers to ensure timely processing.
• Train, mentor, and develop team members to drive performance and growth.

Benefits

• Medical
• Dental
• Vision
• 403(b) Retirement Savings Plan
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Paid Parental Leave
• Pet Insurance
• Car Insurance
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED