Provider Data & Credentialing Manager (Lake Success, NY office)

$65,000 - $75,000/Yr

Digitaloptometrics - New York, NY

Full-time - Senior

Remote - New York, NY

Ambulatory Health Care Services

About the position

The Provider Data & Credentialing Manager at DigitalOptometrics is a full-time role responsible for leading a team that manages provider data and oversees the credentialing process for optometrists across various insurance carriers in the United States. This position is crucial for ensuring compliance with Medicare, Medicaid, and commercial enrollment processes, contributing to the company's growth in the telemedicine sector.

Responsibilities

• Provide leadership and structure to the Networking & Credentialing Team.
• Develop and administer internal policy & procedures for efficient credentialing and networking operations.
• Support and collaborate with multiple internal departments (Recruitment, Finance, HR, Operations, Implementation) for doctor onboarding, credentialing, and sustainment for clients.
• Work with insurance companies on the national and state level during the credentialing process.
• Manage the credentialing software platform QGenda for provider and document management.
• Oversee the Certificates of Liability Insurance process, ensuring doctors have active policies in place as needed.

Requirements

• 7+ years of credentialing experience.
• Experience with Government Enrollments: Medicare & Medicaid.
• Experience with Commercial Carriers: Vision & Medical.
• 4+ years of leadership experience.
• Bachelor's degree or equivalent experience.
• Experience working in a multi-state credentialing organization.

Benefits

• Vision insurance