Overview

Description: Position Description: Manager Credentialing (FULLY REMOTE ROLE)Status: Salary, Exempt, Full-timeReports to: VP of Program OperationsSupervises: Credentialing Team Job Summary: The Manager Credentialing is a hands-on, working manager responsible for the day-to-day credentialing, re-credentialing, licensing, and hospital privileging of all physicians and advanced practice providers contracted with Synergy Health Partners. This role carries an individual credentialing caseload while leading a three-person team, with particular emphasis on obtaining and maintaining privileges for surgeons and anesthesiologists across multiple hospital partners. The Credentialing Manager ensures provider files are complete, accurate, and compliant with hospital medical staff bylaws, state licensing requirements, and Joint Commission, NCQA, and CMS standards, and manages the medical malpractice coverage process for contracted providers. The Manager Credentialing may assist with other projects as assigned.Essential Functions:Credentialing and PrivilegingPersonally prepares, submits, and tracks initial appointment and reappointment applications with hospital medical staff offices, maintaining an individual caseload alongside team leadership responsibilitiesManages multi-hospital privileging for surgeons and anesthesiologists, including delineation of privileges requests, case and procedure logs, peer references, and proctoring/FPPE requirementsPerforms and oversees primary source verification of education, training, board certification, licensure, DEA, work history, malpractice claims history, and NPDB queries in accordance with Joint Commission and NCQA standardsCoordinates credentialing timelines with facility partners and operations leadership so providers are fully credentialed and privileged before scheduled start datesTracks reappointment cycles across all facilities and initiates renewals early enough to prevent any lapse in privilegesManages state medical license, DEA, and state controlled substance applications and renewals, including new-state licensure as the provider network expandsMaintains CAQH ProView profiles and provider attestations where requiredMedical MalpracticeCompletes professional liability (malpractice) applications and monitors issuance of coverage certificatesObtains claims history and loss runs needed for credentialing applicationsMaintains a complete, detailed malpractice inventory with routine reporting to leadershipData, Systems, and ComplianceMaintains complete, current provider files in the CRM and credentialing database, including state licenses, DEA certificates, board certifications, malpractice certificates, life support certifications (BLS/ACLS/PALS), and other required documentsMonitors expirables for licenses, DEA, professional liability, and certifications; produces regular expiration reports and ensures timely renewalWorks with the VP of Program Operations to refine CRM credentialing workflows, checklists, and policies, and recommends process improvementsSupports audit readiness for hospital and regulatory reviews and safeguards the confidentiality of provider informationTeam LeadershipLeads, trains, and supervises a three-person credentialing team; assigns and balances caseloads, sets priorities, and serves as the escalation point for complex filesTracks team productivity, turnaround times, and file accuracy; completes performance reviews and annual assessmentsDevelops and maintains standard operating procedures and training materials for the credentialing functionCommunicationServes as the primary point of contact for hospital medical staff offices and facility partners, resolving application issues and escalationsCommunicates clearly and professionally with providers and Synergy leadership, including regular credentialing status reportsAttends SHP meetings and presents credentialing updates at Operations meetings as requestedWork Environment:This job may work in a remote environment. This role