Credentialing Operations Manager

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

Client & Stakeholder Communication

Reporting & Metrics

Qualifications :

Why Join Knack RCM :