Bridgeview Eye Partners

Manager

• Manage and execute the end-to-end credentialing life cycle, including initial credentialing, recredentialing, and expiration tracking
• Oversee payer enrollment applications, PECOS updates, CAQH maintenance, NPPES records, and delegated agreements
• Monitor and ensure compliance with NCQA, CMS, and commercial payer standards
• Maintain an accurate credentialing database
• Lead, supervise, and support Provider Enrollment Specialists
• Ensure timely submission and follow-up of applications
• Establish, document, and refine credentialing workflows, SOPs, and KPIs
• Act as primary liaison with insurance plans to resolve enrollment delays or issues
• Stay current with payer policy updates and state/federal regulations
• Support credentialing-file audits
• Provide weekly and monthly updates on credentialing status and turnaround times
• Track and report pending expirations to avoid lapses
• Prepare credentialing rosters and enrollment summaries
• Champion the company's culture and commitment to patient care
• Align strategic goals and resources to maximize profitability
• Collaborate across the organization to identify needs and develop scalable solutions
• Work on integration and post-acquisition teams as needed
• Drive operational excellence to achieve financial goals
• Build and lead collaborative teams, develop people, and link performance to business objectives
• Guide and evaluate the work of other employees
• Recruit, hire, train, motivate, and retain current and future leaders
• Perform other duties as assigned

Credentialing Manager

Human Resources

• Develop trusted relationships with operational leaders and serve as a strategic HR resource for assigned locations and teams
• Partner with leaders to understand business and staffing needs and develop practical people strategies
• Coach managers and leaders on performance, workplace expectations, communication, team dynamics, and leadership practices
• Support organizational changes, team development, workforce planning, and people-related initiatives
• Build community connections and represent the organization at community and talent-focused events
• Promote employee engagement, recognition, communication, retention, and a positive workplace culture
• Manage the Employee Recognition Program
• Measure employee satisfaction through surveys, stay interviews, exit interviews, and other feedback mechanisms
• Partner with Recruitment and operational leadership on workforce planning, candidate selection, offers, onboarding, staffing trends, turnover, and hard-to-fill positions
• Provide regional onboarding experiences for new employees
• Guide leaders on employee relations, performance concerns, attendance, workplace conduct, conflict resolution, and corrective action
• Assist with investigations and recommend appropriate courses of action
• Monitor attendance and performance management processes and support timely completion of evaluations and documentation
• Support compliance with federal, state, and local employment laws and regulations
• Help develop, implement, communicate, and maintain HR policies, procedures, and processes
• Identify and escalate employee relations or compliance risks
• Maintain confidentiality when handling sensitive information
• Develop employee communications and coordinate regional training and development activities
• Assist with manager training on leadership, employee relations, performance management, policies, and workplace expectations
• Evaluate HR processes and employee experiences using HR metrics and workforce trends
• Participate in HR projects and organizational initiatives as assigned

Human Resource Business Partner

General

• Maintain and update payer contract rates in billing systems
• Review, validate, and input payer contract rates to reflect negotiated agreements, fee schedules, and reimbursement terms
• Flag discrepancies between contracts and system data for correction
• Conduct periodic audits and reconciliation of contract rates against source contract documents
• Identify and resolve gaps or errors affecting claim reimbursement or revenue recognition
• Document payer contracts, amendments, and rate modifications
• Track implementation dates and maintain a centralized repository for contract versions
• Collaborate with billing, coding, and accounts receivable teams on rate changes, policy updates, and system modifications affecting claims processing or payment posting

Credentialing Manager

Human Resource Business Partner

Payer Relations Specialist