Credentialing Manager

Credentialing Manager

The Credentialing Manager oversees the end-to-end credentialing, recredentialing, and privileging processes for all licensed clinical staff at The Dimock Center, ensuring compliance with HRSA, Joint Commission, NCQA, state, and federal regulatory requirements. This role manages provider credentialing files, maintains accurate records in credentialing databases, coordinates with internal departments and external agencies, and ensures timely completion of all credentialing activities to support patient safety and operational readiness.

The Credentialing Manager also facilitates the Credentialing Committee, ensuring all provider applications and renewals are reviewed, documented, and approved in accordance with organizational bylaws and regulatory standards.

Additionally, this individual serves as the primary point of contact for external partners to assist in ensuring appropriate credentialing and privileging of our providers.

Salary : The salary target range is $100,000 to $115,000 per year.

Essential Duties & Responsibilities

Credentialing & Recredentialing

• Manage and execute the full lifecycle of credentialing and recredentialing for all clinical staff at the Health Center and Addiction Medicine Division.
• Oversee privileging process in accordance with organizational policies and applicable accrediting body standards.
• Ensure all clinical staff credentialing files are accurate, complete, and meet internal and external compliance standards.
• Maintain credentialing database(s) and generate reports for Associate Chief Compliance & Enterprise Risk Officer, regulatory agencies, and audits.

Compliance & Regulatory Oversight

Credentialing Committee Facilitation

External Partner Coordination

Collaboration & Communication

Process Improvement

Required Qualifications

Preferred Qualifications

Working Conditions

Physical Requirements