Talent.com
Manager - Provider Enrollment & Credentialing
Manager - Provider Enrollment & CredentialingKnack RCM • Mohali district, India, India
Manager - Provider Enrollment & Credentialing

Manager - Provider Enrollment & Credentialing

Knack RCM • Mohali district, India, India
20 days ago
Job description

About the Role :

The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers.

This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client relationships, and driving process efficiency and quality across all credentialing operations.

Location : Mohali (On-site)

Key Responsibilities :

Team & Operations Management

  • Lead and mentor the Credentialing and Provider Enrollment team, ensuring productivity, accuracy, and adherence to SLAs.
  • Oversee day-to-day operations related to CAQH management, payer applications, NPI, and Medicare / Medicaid enrollments.
  • Manage re-credentialing, demographic updates, and enrollment follow-ups with payers.
  • Ensure completion of applications, verifications, and documentation within defined timelines.

Process Improvement & Compliance

  • Establish and maintain process documentation, SOPs, and performance trackers.
  • Monitor quality and turnaround time (TAT) and implement corrective actions when required.
  • Ensure all credentialing processes comply with NCQA, CMS, and payer-specific regulations.
  • Identify process gaps and recommend automation or standardization opportunities.
  • Client & Stakeholder Communication

  • Serve as a primary point of contact for clients, addressing escalations and ensuring satisfaction.
  • Collaborate with cross-functional departments (Operations, IT, HR, Quality) to support smooth functioning of credentialing workflows.
  • Conduct regular business review meetings (internal & client-facing) to present performance and improvement metrics.
  • Reporting & Metrics

  • Track and report KPIs including application submission, approval rates, and error percentages.
  • Generate weekly / monthly performance reports and share insights for leadership review.
  • Qualifications :

  • Bachelor’s degree in Healthcare, Business Administration, or related field (Master’s preferred).
  • Minimum 8 years of RCM experience with at least 3 years in credentialing management.
  • Prior experience in client handling and process transition will be an added advantage.
  • Why Join Knack RCM :

  • Work with one of the most trusted and established names in the RCM industry.
  • Opportunity to lead a growing credentialing vertical with strong client exposure.
  • Transparent, performance-driven environment with structured growth path.
  • Employee-friendly culture that values skill, ownership, and innovation.
  • Create a job alert for this search

    Enrollment • Mohali district, India, India

    Related jobs
    Admissions and Enrollment Specialist

    Admissions and Enrollment Specialist

    Jupiter Study Abroad consultancy • Chandigarh, Republic Of India, IN
    Jupiter Consultants is a one-stop solution for your international study needs.We specialize in assisting students to make the right choices for pursuing education in overseas educational institutio...Show more
    Last updated: 30+ days ago • Promoted
    Analytics & Performance Manager

    Analytics & Performance Manager

    Eclerx Services Limited, Mumbai, Maharashtra • Chandigarh, Republic Of India, IN
    We are seeking an experienced and detail-oriented Business Analytics Lead / Manager to join our international BPO team in Chandigarh. The role involves leading a team of analysts, delivering actiona...Show more
    Last updated: 21 days ago • Promoted
    Senior Manager - U.S. Payroll Operations & Reporting

    Senior Manager - U.S. Payroll Operations & Reporting

    Lytegen • Chandigarh, India
    The Role : - We are seeking a Senior Manager - U.Payroll Operations & Reporting to lead our end-to-end project payroll reporting function. The role involves managing the comp...Show more
    Last updated: 18 days ago • Promoted
    Suffescom Solutions - Account Manager

    Suffescom Solutions - Account Manager

    Suffescom Solutions • Chandigarh, India
    Key Responsibilities : - Serve as the primary point of contact for clients, managing day-to-day queries and concerns with professionalism and urgency.Build and maintain ...Show more
    Last updated: 21 days ago • Promoted
    Servicenow

    Servicenow

    Tata Consultancy Services • Mohali, Republic Of India, IN
    Greetings from Tata Consultancy Services!!.ServiceNow Sr Developer / Consultant.Designs, develops, and implements solutions on the ServiceNow platform to automate business processes.Responsible for d...Show more
    Last updated: 24 days ago • Promoted
    Member Of The Board Of Advisors

    Member Of The Board Of Advisors

    Gyan Nidhi Innovations - GNI • Mohali, Republic Of India, IN
    GyanNidhi is an industry-aligned learning platform dedicated to strengthening talent pipelines across the.Its programmes are built around the needs of. The platform’s mission is to bridge the gap be...Show more
    Last updated: 8 hours ago • Promoted • New!
    Assistant Manager - AR (Practice Excellence)

    Assistant Manager - AR (Practice Excellence)

    Nath Outsourcing Solutions Pvt. Ltd. • Mohali district, India, India
    Practice Excellence Assistant Manager (US Healthcare).Nath Outsourcing Solutions (NOS).Mohali (Alpha IT City, Sector 83). Practice Excellence Assistant Manager.You will be the key link between our c...Show more
    Last updated: 24 days ago • Promoted
    Audit Team Lead / Sr. Team Lead

    Audit Team Lead / Sr. Team Lead

    Branch International • Mohali, Republic Of India, IN
    Branch OverviewBranch is a leading AI-based lending fintech with 50M+ downloads across India and Africa.We use alternative data to reach millions of people that are largely excluded from the financ...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Employee Development

    Employee Development

    Open Hand Solutions • Chandigarh, Republic Of India, IN
    A Fortune 500 company with $16 billion in sales, more than 20 Innovation, Solutions & Engineering Centers, and 200 manufacturing locations worldwide Join our team and start your journey today, we a...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Field Enrollment Advisor

    Field Enrollment Advisor

    NIIT Limited • Chandigarh, Republic Of India, IN
    NIIT is a leading Skills and Talent Development Corporation that is building a manpower pool for global industry requirements. The company, which was set up in 1981 to help the nascent IT industry o...Show more
    Last updated: 9 days ago • Promoted
    Optimization Manager

    Optimization Manager

    Trantor • Chandigarh, Chandigarh, India
    Testing and Optimization Specialist Project Role : Digital Testing and Optimization Manager / Consultant - Testing & personalization Project Role Description : Ideate, Design, build and manage optim...Show more
    Last updated: 1 day ago • Promoted
    Jungleworks - Senior Manager - Finance

    Jungleworks - Senior Manager - Finance

    Jungleworks • Chandigarh, India
    Qualification : CA / CPA / ACCA or equivalent We are looking for an experienced Senior Manager Finance to lead the finance and administrative functions for a diverse business gr...Show more
    Last updated: 30+ days ago • Promoted
    Member of the Board of Advisors

    Member of the Board of Advisors

    Gyan Nidhi Innovations - GNI • mohali, India
    GyanNidhi is an industry-aligned learning platform dedicated to strengthening talent pipelines across the.Its programmes are built around the needs of. The platform’s mission is to bridge the gap be...Show more
    Last updated: 6 hours ago • Promoted • New!
    Senior Process Associate

    Senior Process Associate

    Knack RCM • Mohali, India
    The Senior Process Associate – Physician Billing (AR) is responsible for managing the Accounts Receivable process, ensuring timely follow-ups, resolution of denied or pending claims, and maintainin...Show more
    Last updated: 18 days ago • Promoted
    OKR & KPI Performance Manager

    OKR & KPI Performance Manager

    ieng Group • Mohali, Punjab, India
    The Company’s Equal Opportunities policy applies equally to the recruitment process and must be complied with at every stage of the recruitment process. This means that prospective applicants should...Show more
    Last updated: 10 hours ago • Promoted • New!
    Admissions and Enrollment Specialist

    Admissions and Enrollment Specialist

    CHANDIGARH UNIVERSITY • Chandigarh, Republic Of India, IN
    Build and maintain relationships with schools, colleges, coaching centers, and other educational institutions.Conduct motivational sessions, career counseling, and collect student data.Coordinate w...Show more
    Last updated: 3 days ago • Promoted
    Senior Product Manager - Fintech Domain

    Senior Product Manager - Fintech Domain

    Aspire Talent Innovations • Chandigarh
    Job Title : Senior Product Manager Financial CRM (Fintech Domain) Location : Chandigarh (Work from Office / Hybrid) Experience : ...Show more
    Last updated: 23 days ago • Promoted
    Manager - Provider Enrollment & Credentialing

    Manager - Provider Enrollment & Credentialing

    Knack RCM • Mohali district, India, India
    The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers acros...Show more
    Last updated: 20 days ago • Promoted