Senior Manager Credentialing

CVS Health

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Summary: In this role you will lead a high-impact Credentialing Operations unit dedicated to accelerating clinician "speed-to-market." This role moves beyond administrative oversight to drive the strategic evolution of credentialing workflows, ensuring the department serves as a proactive partner in meeting organizational growth targets and resolving complex, high-stakes provider barriers.

Requirements

A Bachelor's degree is preferred (Healthcare Administration, Health Information Management, Public Health, Health Services, Business Administration, or related fields). Specialized training or relevant professional experience will also be considered
5+ years of leadership experience in a high-volume credentialing or medical staff services environment
Mastery of Strategic Problem Solving: Exceptional ability to navigate "gray areas" and make high-consequence decisions under pressure
Adept at Business Intelligence: Skilled at using data to forecast "time-to-credential" and identify long-poles in the onboarding funnel
Growth Mindset & Agility: Proven track record of developing talent and evolving organizational structures to meet the demands of a high-growth healthcare environment
Executive Presence: Professional demeanor capable of influencing senior leadership and resolving sensitive provider issues with diplomacy and authority

Responsibilities

Formulates and implements a forward-looking strategy for the Credentialing Operations unit, transforming the department from a transactional function into a strategic lever that directly supports national clinician deployment goals.
Serves as the final point of resolution for complex, high-priority credentialing issues; counsels internal leadership and external stakeholders on critical business reviews and high-stakes credentialing bottlenecks.
Analyzes the efficacy of credentialing programs, utilizing business intelligence to move beyond standard goal-tracking toward identifying systemic opportunities for process acceleration.
Drives a sophisticated audit and rebuttal framework; reviews results for accuracy while providing executive-level guidance on findings with significant business or legal implications.
Acts as the primary operational liaison to Network Management, Provider Relations, and Tech teams, ensuring that credentialing barriers are proactively addressed through cross-functional initiatives and shared accountability.
Sets the direction for continuous process evolution, ensuring that credentialing methods are agile enough to support shifting organizational objectives and diverse clinician types (e.g., National Travelers).
Manages all operational facets of the team—including budget, performance metrics, and compliance—while architecting workforce and succession plans to ensure long-term departmental resilience.
Ensures all credentialing strategies maintain strict alignment with regulatory standards while minimizing friction in the clinician onboarding experience.