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Asst Mgr, Managed Care
<h2>Position Summary</h2> <p><strong>Assistant Manager, Managed Care (Credentialing)</strong></p> <p>đ» <strong>Fully Remote</strong>đ <strong>Full-Time | Monday â Friday | 8:00 AM â 5:00 PM CT</strong></p> <p> </p> <p><strong>Join a Team That Keeps Healthcare Moving</strong></p> <p>Weâre seeking a highly skilled Assistant Manager, Managed Care (Credentialing) to support and lead credentialing operations across a dynamic healthcare network. In this role, youâll play a critical part in ensuring providers are accurately credentialed and compliantâdirectly impacting patient access, reimbursement, and organizational success.</p> <p> </p> <p>If you thrive in a fast-paced environment, enjoy leading teams, and are passionate about regulatory excellence, this is your opportunity to step into a meaningful leadership role.</p> <p> </p> <p> </p> <p></p> <p><strong>About Baptist Health Medical Group</strong></p> <p>Baptist Health Medical Group is a physician-led group established on a foundation of compassionate care and clinical excellence. Guided by this commitment to compassion and excellence, our teams of physicians, advanced practice professionals, nurses, clinicians and office staff work together to meet every patientâs total healthcare needs.</p> <p>As part of Baptist Healthâs extensive network of comprehensive healthcare services, Baptist Health Medical Group is committed to providing the community easy access to integrated care. Our expansive range of practices offer close-to-home locations and convenient appointment options. </p> <p>Providing expert care in over 18 areas of focus â from primary care to specialty institutes â Baptist Health Medical Group includes more than 600 physicians and advanced practice professionals.</p> <p> </p> <p><strong><u>Baptist Health Offers Great NEW Competitive Pay and Great Benefits Package that Includes:</u></strong></p> <ul> <li>Medical, Dental, Vision</li> <li>403(b) Retirement Savings Plan</li> <li>Health Savings Account (HSA)</li> <li>Flexible Spending Account (FSA)</li> <li>Paid Time Off (up to 5 weeks to start)</li> <li>Life Insurance</li> <li>Extended Leave Plan (ELP)</li> <li>Family Care (childcare, elder care, pet care)</li> <li>Paid Parental Leave</li> <li>Pet Insurance</li> <li>Car Insurance</li> <li>Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt</li> </ul> <p> </p> <p><strong><u>ALL BENEFITS START DAY ONE</u></strong></p> <p> </p> <p> </p> <h2>Responsibilities</h2> <p><strong>What Youâll Do</strong></p> <ul> <li>Lead and coordinate credentialing and re-credentialing activities for physicians, advanced practice providers, and healthcare professionals.</li> <li>Ensure compliance with <strong>NCQA, URAC, Medicare, Medicaid</strong>, and managed care plan standards.</li> <li>Delegate and oversee workflow of Credentialing Specialists while maintaining high-quality output.</li> <li>Review completed provider files for accuracy, compliance, and risk mitigation. </li> <li>Serve as a subject matter expert and troubleshoot complex credentialing issues.</li> <li>Support physician onboarding and collaborate with internal departments to ensure seamless provider setup.</li> <li>Analyze reports and maintain credentialing database integrity to support claims and collections processes.</li> <li>Build and maintain relationships with managed care plans and government payers to ensure timely processing.</li> <li>Train, mentor, and develop team members to drive performance and growth.</li> </ul> <p> </p> <h2>Qualifications</h2> <p><strong>What You Bring</strong></p> <ul> <li><strong>5+ years of experience</strong> in managed care and/or governmental payer credentialing </li> <li>Strong knowledge of credentialing regulations, policies, and accreditation standards</li> <li>Proven leadership skills with the ability to supervise workflows and mentor team members</li> <li>Excellent attention to detail and ability to manage multiple priorities in a deadline-driven environment</li> <li>Strong communication skills with the ability to collaborate across departments and with providers</li> <li>High School Diploma required</li> </ul> <p><strong>What Sets You Apart</strong></p> <ul> <li>Experience working with credentialing databases and reporting tools</li> <li>Ability to identify process improvements and implement solutions</li> <li>Strong analytical mindset focused on minimizing risk and ensuring compliance</li> <li>A collaborative, team-first approach with a commitment to excellence</li> </ul> <p> </p> <p> </p>
