Credentialing Manager

Assembly Health

7d • $75,000 - $85,000

About The Position

Assembly Health is seeking an experienced, strategic Credentialing Manager to lead client relationships related to credentialing and provider enrollment. Reporting to the Director of Provider Relations, this role owns the client success roadmap, drives operational excellence across credentialing and enrollment workflows, and serves as a senior liaison among providers, payers, clients, and internal stakeholders. The position combines account management, process ownership, and strategic execution in a fast-paced healthcare services environment.

The Credentialing Manager works with client stakeholders to manage customer communication, establish best practices, ensure compliance, and drive continuous improvement aligned with organizational growth. The role also supports departmental strategy and national scaling efforts and provides leadership updates on enrollment status, risks, and capacity planning.

Requirements

• At least 5 years of experience in provider relations, credentialing, enrollment, or healthcare operations.
• At least 2 years of people management experience, including managing Team Leads or supervisors.
• At least 2 years of account management or customer success experience as the primary point of contact for clients.
• Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows.
• Demonstrated ability to lead teams, drive accountability, and implement scalable processes.
• Bachelor’s degree required.
• Exceptional organizational, analytical, and reporting skills.
• Strong communication skills and ability to influence across levels and functions.
• Proficiency in Microsoft Office Suite and credentialing or enrollment databases.
• Ability to thrive in a fast-paced, high-growth environment with evolving priorities.
• Detail-oriented, with strong problem-solving and decision-making capabilities.

Nice To Haves

• Degree in healthcare administration, business, or process improvement preferred.

Responsibilities

• Serve as the main point of contact for assigned clients, proactively addressing inquiries and concerns.
• Conduct regular client meetings to review provider enrollment and credentialing data, discuss challenges, and align on goals.
• Monitor and analyze KPIs, including retention and turnover rates, credentialing turnaround time, Network Adequacy, and Net Promoter Score.
• Oversee provider enrollment, credentialing, and re-credentialing activities to ensure accuracy, timeliness, and payer compliance.
• Ensure effective tracking, reporting, and documentation of enrollment status, payer communications, and provider data across systems.
• Act as the primary point of contact for complex provider, payer, or claims-related issues.
• Identify and implement process improvements to streamline workflows, reduce cycle times, and improve provider experience.
• Standardize SOPs, reporting structures, and quality controls across the Provider Relations function.
• Analyze trends, bottlenecks, and performance metrics to inform decisions and continuous improvement initiatives.
• Support departmental strategy and scaling efforts as the organization grows nationally.
• Serve as a liaison with Revenue Cycle, Operations, Compliance, and Clinical Leadership teams.
• Provide executive-level updates and reporting to leadership on provider enrollment status, risks, and capacity planning.
• Maintain clear, professional communication with providers and external partners.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k)
• Paid time off
• Eligible employees may have the opportunity to participate in company bonus programs

What This Job Offers

• Job Type: Full-time
• Career Level: Manager