Credentialing Manager at CLS Health PLLC

Webster, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Mar, 26

Salary

0.0

Posted On

18 Dec, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Healthcare Administration, Leadership, Attention To Detail, Organizational Skills, Time Management, Communication, Problem Solving, Regulatory Compliance, Team Management, Process Improvement, Microsoft Office Suite, Collaboration, Audit Preparation, Record Keeping, Payer Requirements

Industry

Hospitals and Health Care

Description

Description About CLS Health At CLS Health, we are redefining healthcare delivery. As Houston’s largest physician-owned, physician-led healthcare system, our mission is to provide patient-centered care through innovation and operational excellence. With over 200 providers in 35+ locations and over 50 specialties, we’re building a scalable healthcare system that empowers physicians and delivers unmatched quality and access for patients. We are Looking for: CLS Health is seeking a detail-oriented and experienced Credentialing Manager to oversee the daily operations of the credentialing team. The Credentialing Manager is responsible for ensuring all providers are properly credentialed and recredentialed in compliance with internal policies, regulatory standards, and payer requirements. This role plays a key part in maintaining provider eligibility, protecting organizational integrity, and ensuring efficient, accurate credentialing processes. Responsibilities: Supervise and provide guidance to the credentialing staff, ensuring timely and accurate completion of all credentialing and recredentialing applications. Monitor credentialing timelines and performance metrics, prioritizing tasks to meet payer and regulatory deadlines. Review provider applications and support documentation for accuracy and completeness. Collaborate with internal departments such as Human Resources, Provider Relations, and Revenue Cycle to ensure smooth onboarding and credentialing of new providers. Maintain provider credentialing files and databases in accordance with organizational and accreditation standards (e.g., NCQA, TJC). Resolve discrepancies, follow up with providers for missing information, and address any issues or delays in credentialing workflows. Prepare for and participate in internal audits, external audits, and accreditation reviews. Stay current with applicable laws, regulations, and payer requirements affecting credentialing. Train, mentor, and evaluate credentialing team performance; identify areas for process improvement. Assist in the development and implementation of credentialing policies and procedures. Perform related duties as required. Office-Based Position in Webster, TX Why You’ll Love Working With Us: Competitive salary Quarterly performance bonuses Supportive team culture Real opportunities for professional development and career growth Full benefits package including: 401(k) with company match Medical, Dental, Vision, and Life Insurance Paid time off Disability insurance Requirements · Associate’s or bachelor’s degree in healthcare administration, Business, or related field preferred. · Minimum of 10 years of experience in healthcare credentialing, with at least 1 year in a supervisory or lead role. · Strong knowledge of credentialing standards, healthcare standards and payer requirements (Medicare, Medicaid, Healthcare insurers). · Experience with credentialing software/systems (e.g., CAQH, Modio OneApp, Echo, etc.). · Strong attention to detail and accuracy in record-keeping. · Excellent organizational and time management skills. · Effective communication and leadership abilities. · Ability to prioritize and handle multiple tasks in a fast-paced environment. · Proficient in Microsoft Office Suite (Word, Excel, Outlook). Ready to make a difference in a place that values you? Apply today and become part of a healthcare family that supports your success and celebrates your growth!

Responsibilities

The Credentialing Manager oversees the daily operations of the credentialing team, ensuring timely and accurate completion of credentialing applications. This role involves collaborating with various departments and maintaining compliance with internal policies and regulatory standards.