Credentialing & Payer Enrollment Manager (Remote) bei Relias Healthcare

Job Purpose

The Credentialing & Payer Enrollment Manager plays a critical role in ensuring Relias Healthcare providers are fully credentialed and enrolled with payers to deliver care without administrative barriers. By leading enrollment operations, optimizing workflows, and upholding regulatory compliance, this position strengthens our revenue cycle, supports provider readiness, and safeguards access to care for the communities we serve. The Manager empowers both the team and the organization to operate with precision, integrity, and a commitment to excellence in every enrollment interaction.

Duties and Responsibilities 

Understanding that providers are Relias’ number one priority and greatest asset, the Credentialing & Payer Enrollment Manager is accountable for driving strategic execution across credentialing and payer enrollment operations, aligning team performance, process efficiency, and compliance to support organizational growth, provider onboarding, and revenue integrity. This role builds cross-functional relationships to eliminate bottlenecks, reduce administrative delays, and ensure providers are fully supported from day one. With a focus on continuous improvement, the Manager identifies opportunities to streamline workflows, enhance data accuracy, and elevate service delivery across the organization.

Qualifications

• High school diploma or equivalent required; associate’s or bachelor’s degree preferred.
• Minimum five (5) years of experience in a healthcare or medical office setting with credentialing experience.
• Experience with insurance enrollments and provider onboarding.
• Intermediate-level proficiency with Microsoft Excel.
• High attention to detail, organizational skills, and time management.
• Ability to manage multiple priorities and work independently in a high-volume, deadline-driven environment.
• Strong written and verbal communication skills.
• Familiarity with CAQH, Modio, NPPES, PECOS, and payer portals.

Working Location

Remote position with periodic travel to the corporate office (approximately quarterly or as requested by leadership).

Direct Reports

• 3 Credentialing and Enrollment Specialists

Benefits

• Health, Dental, Vision, Life, and Disability insurance
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• Employee Assistance Program (EAP)
• 401(k) and matching
• Paid Time Off