Credentialing Manager

Fay

. Execute provider enrollment and credentialing applications across assigned payers using CAQH ProView, primary source verification, payer portal submissions, and follow-up .

Posted 9/18/2026contractRemote • California • United StatesMid-LevelSenior💰 $60,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider enrollment and credentialing processes, utilizing tools like CAQH ProView and payer portals. Strong analytical skills in managing spreadsheets and tracking application statuses while ensuring compliance with payer requirements.

Highest-signal resume keywords

Provider Credentialing ExperienceCAQH ProView ProficiencyAdvanced Excel SkillsAI Tool UtilizationPayer Portal Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentCredentialing ApplicationsPrimary Source VerificationApplication SubmissionSpreadsheet ManagementData TroubleshootingNPI Data ResolutionSOP ImprovementTelehealth CredentialingLicense Verification

Soft Skills

Attention to DetailProblem-SolvingIndependent WorkAdaptabilityCommunication

Tools & Technologies

CAQH ProViewPayer PortalsAI ToolsExcelSLA Trackers

Industry Keywords

Digital HealthHigh-Growth StartupCommercial PayerGovernment PayerTelehealth Providers

About the role

Key responsibilities & impact

Execute provider enrollment and credentialing applications across assigned payers using CAQH ProView, primary source verification, payer portal submissions, and follow-up
Track application statuses and turnaround times, flagging delays or missing documentation
Maintain accurate spreadsheets and dashboards, including status logs, SLA trackers, and denial/resubmission tracking
Troubleshoot missing NPI data, license discrepancies, payer portal issues, and rejected applications through resolution
Use AI tools for repetitive or research-heavy work, such as drafting follow-up communications, summarizing payer requirements, and organizing data
Partner with credentialing and RCM teams to communicate enrollment status and prevent billing or provider go-live delays
Lead contractors and vendors across credentialing and enrollment workflows
Report to the Head of Provider Operations

Requirements

What you’ll need

Hands-on experience with provider credentialing and enrollment, including CAQH, payer portals, license verification, application submission and tracking
Solid Excel/spreadsheet skills, including formulas, filtering, pivot tables, and maintaining large trackers
Owner's mindset; ability to identify problems, investigate causes, troubleshoot directly, improve SOPs, and drive issues to resolution independently
Comfortable operating in a fast-moving environment where process is still being built
Strong attention to detail, accuracy, and thoroughness
Experience using AI tools such as Claude, ChatGPT, or similar is preferred
Experience credentialing telehealth providers, particularly dietitians, therapists, or other non-physician specialties, is preferred
Familiarity with commercial and government payer portals, including Aetna, BCBS, Cigna, UHC, Humana, Medicare/Medicaid, is preferred
Background at a high-growth startup or digital health company is preferred