Manager of Provider Payer Enrollment and Credentialing

Trinity Health • Hartford, CT

2d

About The Position

The Manager of Provider Enrollment & Credentialing leads the assigned provider payer enrollment and credentialing program for Trinity Health Medical Group. This role ensures an efficient, compliant credentialing and onboarding process while delivering excellent experience for Physicians and APPs. The manager provides leadership to teams, partners with Revenue Site Operations and ministry leadership, and supports revenue integrity by preventing enrollment-related delays and denials.

Requirements

• Bachelor’s degree in a related field or equivalent experience required.
• 5–7 years of progressive experience in provider enrollment, credentialing, or revenue cycle operations.
• 3–5 years of management experience in a healthcare or multi-facility environment, integrated health care delivery system, revenue cycle, or consulting experience.
• Strong knowledge of payer enrollment regulations, provider documentation, and front-end revenue cycle functions.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Strong leadership, problem-solving, and process improvement skills
• Data-driven mindset with reporting and analytics experience
• Excellent communication and stakeholder partnership skills
• High attention to detail and commitment to compliance and confidentiality

Nice To Haves

• 2–4 years of delegated credentialing experience preferred.
• Healthcare certification (HFMA, MGMA, LEAN, or similar) preferred.

Responsibilities

• Lead and oversee provider enrollment and credentialing operations.
• Manage and develop Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator.
• Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing.
• Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency.
• Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards.
• Monitor performance metrics, analyze trends, and deliver actionable reports to leadership.
• Partner with Finance, Operations, Practice Leaders, and executive stakeholders to prevent revenue leakage.
• Ensure full compliance with federal, state, payer, and Trinity Health policies

Benefits

• Great benefits effective day 1!
• Competitive pay
• Mission driven team environment

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 251-500 employees