1:00 PM - 2:00 PM
Senior Product Manager Interview
Sarah Jenkins
The healthcare compliance sector continues to expand as organizations across the USA seek skilled professionals to oversee provider enrollment and accreditation. With 367 open positions available, employers are actively searching for a credentialing manager to manage verification workflows and ensure regulatory compliance. This remote opportunity offers flexibility while allowing professionals to make a meaningful impact on healthcare quality nationwide.
Successful candidates typically bring strong organizational skills, attention to detail, and a solid understanding of NCQA, URAC, or CMS standards. Employers look for a credentialing manager who communicates effectively with physicians, insurance payers, and compliance teams while managing multiple deadlines. Proficiency with verification software and audit preparation is highly valued, along with the ability to train and mentor staff.
Credentialing manager remote jobs have become increasingly common as healthcare systems digitize verification and compliance processes. Companies across the USA now offer flexible remote schedules, allowing professionals to collaborate virtually with medical staff offices, insurance networks, and regulatory bodies. This shift reflects a broader hiring trend favoring remote talent who can manage compliance operations efficiently from anywhere in the country.
If you're ready to hire a credentialing manager or searching for your next opportunity, explore the latest credentialing vacancies and positions available today. Global Work AI connects skilled professionals with organizations seeking reliable remote talent, making it easier to find the right fit. Take the next step in your career and discover new possibilities waiting for you.

UnitedHealth Group
Oversee daily operations of coding teams, ensuring coding quality and adherence to KPIs and SLAs. Develop plans to meet targets, create/update coding SOPs, and implement process improvements.

Jobgether
Own the product strategy and roadmap for Collection Management, defining registration, monitoring, updates, and task assignment for collection methods. Establish a technical contract for consistent behavior across methods and ensure secure data return to the platform.

Govcio LLC
Lead program delivery for the ICAM environment, managing cost, schedule, and technical performance. Oversee release and deployment planning, coordinate patch management, and ensure compliance with federal policies.

NATIONAL PARTNERS IN HEALTHCARE
Manage the Coding team, including hiring, training, and performance evaluations. Ensure compliance with coding standards and regulations, monitor coder productivity and accuracy, and conduct coding audits. Provide coding guidance to healthcare providers and develop corrective action plans as needed.

Dragos
Define and own the product strategy and roadmap for Collection Management, including inventory, lifecycle updates, and health monitoring. Establish the common collection contract and secure credential handling.

Jobgether
Oversee inpatient coding quality operations, ensuring accurate and compliant coding for IPDRG services. Manage remote coding quality teams, monitor performance, and drive improvements in coding accuracy. Conduct coding audits, resolve coding-related issues, and maintain coding quality policies.

Huron
Oversee coding processes for inpatient services, ensuring accurate and compliant coding. Supervise coding quality auditing staff, monitor productivity, and resolve coding-related issues. Conduct audits for compliance with regulations and collaborate with various departments to ensure clean claims.

Eye Consultants of Atlanta PC
Manage credentialing processes including application management and primary source verification. Ensure compliance with accrediting and regulatory agencies, and maintain accurate reports on provider credentialing status. Serve as liaison with third-party payors and negotiate new insurance contracts.

Oscar Health
Lead the credentialing operations team, ensuring accurate and timely provider credentialing and re-credentialing. Oversee production, quality, service levels, and escalations while maintaining compliance with regulatory and internal requirements.

Alutiiq
Lead and oversee facility operations for the Department of State, ensuring contract performance and compliance. Develop and maintain the Program Management Plan, oversee maintenance activities, and manage financial performance.

Achievement Behavior Services
Manage provider credentialing and enrollment across various insurance plans, ensuring accurate records and compliance with deadlines. Oversee insurance contracts and amendments, monitoring renewals and reimbursement changes.

Liberty Dental Plan Careers
Recruit and retain General Dentists and Specialists to meet network adequacy. Analyze provider networks for recruitment needs and develop strategic plans. Negotiate contracts and fee schedules, support providers with claims issues, and conduct orientations.

Evolution Research Group
Manage and execute clinical study operations, ensuring compliance with regulations and guidelines. Lead project teams through the full project cycle, including budgeting, timeline adherence, and communication with stakeholders.

Pomelo Care
Manage a team of licensing and credentialing specialists. Oversee the licensing, credentialing, and enrollment processes for providers with states and health plan partners. Develop and execute enrollment strategies across clinical specialties and geographic areas.

IKS Health
Lead remote coding services for Value-Based Care clients, ensuring coder productivity, accuracy, and client satisfaction. Manage client onboarding, resource scheduling, and workload planning. Collaborate with audit and operations teams to implement corrective actions and continuous improvements.

Finni Health
Lead a team of Credentialing Managers and associates to streamline the credentialing lifecycle. Oversee onboarding, submission, follow-up, and provider maintenance processes. Ensure accurate reporting and compliance with payer requirements while building necessary documentation and controls.

PENNSYLVANIA CERTIFIED ORGANIC
Lead the Certification Review Team, overseeing certification workflow and ensuring compliance with USDA organic standards. Manage team performance, conduct reviews, and implement certification policies. Foster a collaborative team culture and support staff development through coaching and mentoring.

Mount Sinai Health System
Supervise data team staff, ensuring adherence to data management principles. Develop and execute data management plans to ensure accuracy and quality. Collaborate with IT on database upgrades and enhancements.

Health Systems Management
Oversee nursing staff and ensure compliance with safety policies and standards of care. Manage staff development activities, including orientation and performance reviews. Analyze unit operations to enhance patient care delivery and implement changes as needed.

Centene Corporation
Manage risk adjustment and quality improvement processes for assigned products. Develop action plans and operational workflows, collaborating with various departments. Evaluate risk adjustment strategies and prepare dashboards for senior management to identify improvement opportunities.

Trillium Health Resources
Provide Tailored Care Management to members on the Registry of Unmet Needs (RUN), including member engagement, needs assessment, and coordination of physical and behavioral health resources.
UBC
Provide project management oversight for strategic projects, defining scope, objectives, and deliverables. Manage multiple concurrent projects, budgets, and high-risk initiatives while mentoring junior team members.

DHVAJ
Oversee revenue cycle operations for adult home health services, including claims submission, payment posting, and collections. Manage healthcare credentialing and payer enrollment activities nationwide, ensuring compliance with regulatory requirements.

CenterWell
Manage a team of consultative coders to ensure accurate clinical documentation and coding. Collaborate with Divisional Coding Leaders to develop strategies for documentation improvement.

Assembly Health
Manage client relationships regarding credentialing and provider enrollment. Oversee provider enrollment and credentialing activities, ensuring compliance and accuracy. Analyze KPIs and implement process improvements to enhance workflows and provider experience.

UASI
Lead and develop a team of Clinical Documentation Improvement (CDI) professionals, managing staffing, scheduling, and productivity. Serve as the primary client contact, ensuring successful project delivery and high client satisfaction.

CentralReach
Serve as a clinical outcomes expert for customers, leading onboarding and implementation of outcomes-based care models. Assess data practices and develop roadmaps for improvement. Deliver training on outcomes measurement and configure reporting tools.
Tidi Products
Serve as the primary customer contact for product training, education, and installation. Collaborate with the Territory Manager to support customer needs and drive compliance. Identify new business opportunities and manage the territory pipeline using Salesforce.

Humboldt Neurohealth
Support day-to-day operations of the clinical department, including scheduling, onboarding, credentialing, and payroll accuracy. Coordinate clinician schedules and manage the client waiting list.

Highmark Health
Lead product strategy and execution for Provider Contracting, Credentialing, and Network capabilities. Oversee product roadmaps, enhance existing products, and guide Product Managers through discovery and implementation.

Neuronetics, Inc.
Lead payer contracting activities, including negotiations, contract maintenance, and network expansions. Analyze reimbursement methodologies and resolve underpayment issues.

Coloplast A/S
Oversee management of government-funded and commercial insurance contracts, ensuring compliance and good standing. Supervise credentialing applications and updates, manage payer setups, and analyze reimbursement data to support strategic decisions.
Tidi Products
Serve as the primary customer contact for product training, education, and installation. Collaborate with the Territory Manager to support customer needs and drive compliance. Identify new business opportunities and manage the territory pipeline using Salesforce.

Devoted Health
Lead clinical documentation integrity initiatives, ensuring compliance with ICD-10-CM coding guidelines and CMS regulations. Design and maintain clinical documentation guidance and educational materials for providers.

STERIS Corporation
Manage daily operations of clinical solutions, ensuring functionality and content for HHQ. Develop and support continuing education programs, collaborating with internal teams and stakeholders.

JULY BUSINESS SERVICES LLC
Serve as the primary contact for 150-175 retirement plan clients, addressing inquiries on compliance, operations, and technology. Ensure timely completion of compliance tasks such as nondiscrimination testing and Form 5500 filings.

Charlie Health
Lead and manage a team of credentialing specialists, overseeing KPIs such as enrollment turnaround times. Own the delegated credentialing program, including provider onboarding and primary source verification.

Life360
Own and execute the strategy for identity, authentication, account sign-in, and recovery. Collaborate with Security, Engineering, and other teams to ensure secure member access.

Prenuvo
Oversee end-to-end credentialing, licensing, and compliance for healthcare professionals across multiple states. Manage onboarding and offboarding processes, ensuring all documentation and training are completed timely.

Synapticure
Lead the licensing, credentialing, and payer enrollment functions, managing the full provider onboarding and offboarding process. Oversee multi-state provider licensing applications and renewals, payer enrollment, and credentialing across various payers.
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