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Credentialing Manager

USA Clinics Group
Posted 3 months ago, valid for 12 days
Location

Northbrook, IL 60062, US

Salary

$75,000 - $95,000 per year

Contract type

Full Time

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Sonic Summary

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  • USA Clinics Group, founded by Harvard-trained physicians, is the largest network of outpatient centers in the nation, focusing on patient-first care.
  • The Credentialing Manager position, located in Northbrook, IL, offers a salary range of $75,000 to $95,000 and requires a minimum of 5 years of provider credentialing and payer enrollment experience.
  • Key responsibilities include managing credentialing operations, improving efficiency, and training staff while ensuring compliance with payer requirements.
  • The role also involves implementing automation and AI tools to streamline processes and enhance productivity.
  • Candidates should have a degree in Healthcare or Business Administration and strong knowledge of credentialing software and enrollment processes.

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you!

Why You'll Love Working with us:

Rapid career advancement           Competitive compensation package

Positive, team-oriented environment   Work with cutting-ed technology

Make a real impact on patients’ lives   Join a fast-growing, mission-driven company

Position Summary:

The Credentialing Manager serves as the operational partner to credentialing leadership by managing day-to-day credentialing and enrollment activities, team performance, and workflow optimization. This role focuses on improving efficiency, implementing automation, and ensuring timely provider onboarding and compliance.

Position Details:

  • Location: Northbrook, IL
  • Schedule: Full-time, Monday through Friday on-site.
  • Compensation: $75,000 - $95,000
Key Responsibilities
  • Manage day-to-day credentialing and payer enrollment operations, ensuring timely completion of provider applications and renewals.
  • Monitor department productivity, application status, enrollment aging, and onboarding timelines.
  • Develop and maintain operational reports, dashboards, and KPI tracking tools.
  • Standardize credentialing processes, maintain SOPs, and identify opportunities to reduce delays and improve efficiency.
  • Train, mentor, and support credentialing staff while ensuring adherence to payer and regulatory requirements.
  • Coordinate escalations with payers, providers, and internal stakeholders to resolve enrollment issues.
  • Serve as the operational partner to the Director by leading process improvements and executing department initiatives.
AI & Automation Responsibilities
  • Automate provider status updates, enrollment tracking, and stakeholder communications.
  • Implement automated alerts for expiring licenses, certifications, malpractice coverage, and payer renewals.
  • Develop AI-assisted dashboards that monitor application progress, aging, and team productivity.
  • Utilize automation tools to reduce manual document collection, tracking, and reporting activities.
Minimum Requirements
  • Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred.
  • Minimum 5 years of provider credentialing and payer enrollment experience.
  • Strong knowledge of CAQH, Medicare, Medicaid, commercial payer enrollment, and provider licensing requirements.
  • Experience managing credentialing workflows, productivity metrics, and provider onboarding timelines.
  • Proficiency with credentialing software, reporting tools, and document management systems.
  • Health
  • Dental
  • Vision
  • 401k & Match
  • Paid time off



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