Compliance and Credentialing Manager

Key Responsibilities

• Establish and maintain effective communication channels within the office and with clients, caregivers, and corporate partners
• Collaborate with Business Development, Recruitment, and Clinical teams to implement operational best practices
• Develop and oversee compliance processes aligned with company, federal, state, and accreditation standards
• Manage caregiver onboarding, including orientation, payroll, and credentialing
• Ensure all caregivers meet requirements prior to providing patient care
• Participate in Compliance Plan of Correction (CPOC) processes
• Oversee medical records management and ensure regulatory compliance
• Cook up unemployment and workers’ compensation claims
• Manage accounts receivable, payroll, and billing processes in partnership with Revenue Cycle team
• Obtain authorizations, eligibility verifications, and other payer requirements

Qualifications

• Undergraduate degree preferred (Business, Marketing, Management, Communications, Public Relations, Human Resources, or Healthcare Administration)
• Minimum 1 year of operations or administrative experience in healthcare preferred
• Supervisory experience preferred
• Strong understanding of organizational and financial structures
• Excellent communication and interpersonal skills
• Ability to thrive in a fast-paced, dynamic environment
• Strong organizational skills and attention to detail
• Proficiency in Microsoft Office Suite