Credentialing Team Manager

Sutherland

. Relay timely and accurate credentialing reports and compliance status updates to management .

Posted 10/2/2026full-timeRemote • New Jersey • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in credentialing processes, regulatory compliance, and data analysis to enhance operational efficiency and provider satisfaction. Proven leadership in managing credentialing teams and driving continuous improvement initiatives.

Highest-signal resume keywords

CPC CertificationMedical CodingCredentialing ManagementData AnalysisLeadership Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing StrategiesRegulatory ComplianceQuality Standards ManagementRoot Cause AnalysisCredentialing Workflows

Soft Skills

Strong Analytical SkillsEffective CommunicationTeam-Player MindsetProactive Relationship BuildingAdaptability

Tools & Technologies

MS OfficeExcelWordPowerPoint

Certifications & Qualifications

CPC CertificationCOC CertificationCCS CertificationCCS-P Certification

Industry Keywords

CredentialingProvider SatisfactionCompliance StatusPayer RequirementsContinuous Process Improvement

About the role

Key responsibilities & impact

Relay timely and accurate credentialing reports and compliance status updates to management
Develop credentialing strategies based on data analysis, regulatory requirements, and operational observations
Oversee and manage credentialing quality and compliance standards
Guarantee provider satisfaction and regulatory adherence
Provide coaching and feedback to credentialing staff
Establish and maintain communication with providers, payers, and internal stakeholders
Understand credentialing needs and resolve verification issues
Monitor credentialing workflows and application queues against defined timelines and targets
Report delays or compliance gaps and take necessary action
Perform root cause analysis on credentialing defects and implement corrective actions
Drive credentialing turnaround-time improvement initiatives
Meet regulatory and payer requirements
Meet credential maintenance and renewal goals
Participate in staff development and continuous process improvement

Requirements

What you’ll need

Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA
Minimum 6-7 years with hands-on medical coding & credentialing
At least 2 years in a leadership role managing a team of credentialing specialists
Ability to work in a fast-paced environment
Working knowledge of MS Office applications: Word, Excel, and PowerPoint
Ability to adjust quickly and smoothly to changing priorities and conditions
Ability to interpret data, identify trends, and make suggestions for improvements
Strong analytical skills
Proactive in developing trust and professional rapport with employees and team members
Team-player mindset
Strong verbal and written communication skills
Ability to communicate in a clear, constructive, and professional manner

Benefits

Comp & perks

Employees can work remotely
Confidential handling of employee information according to EEO guidelines
Equal employment opportunity protections
Voluntary and confidential Administrative EEO record process; participation does not affect employment decisions