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Assistant Manager Credentialing

5 - 10 years

9 - 12 Lacs

Posted:9 hours ago| Platform: Naukri logo

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Full Time

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About Capline Services

Job Overview

Key Responsibilities

Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers

Lead daily team operations, monitor KPIs, and drive performance improvements

Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others

Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines

Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions

Conduct training sessions, performance evaluations, and support employee development

Provide strategic input to optimize workflows and improve operational efficiency

Requirements

Bachelor’s degree preferred

Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role

Strong understanding of US healthcare regulations and payer enrollment processes

Hands-on experience with credentialing portals and tools

Excellent team leadership, communication, and analytical skills

Ability to work in rotational shifts in a 24/7 operational environment

Why Capline?

Fixed weekend offs

Leadership role in a growing US healthcare captive

Supportive, process-driven, and collaborative work culture

Opportunities for long-term career advancement

To Apply:

HR Zakir Husain

9971047487

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Capline Services
Capline Services

Logistics and Supply Chain Management

New York

50-100 Employees

11 Jobs

    Key People

  • John Doe

    CEO
  • Jane Smith

    CTO

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