Manager Of Provider Payer Enrollment And Credentialing

Employment Type

Full time

Shift

Day Shift

Description

The Manager of Provider Enrollment & Credentialing leads the assigned provider payer enrollment and credentialing program for Trinity Health Medical Group. This role ensures an efficient, compliant credentialing and onboarding process while delivering excellent experience for Physicians and APPs. The manager provides leadership to teams, partners with Revenue Site Operations and ministry leadership, and supports revenue integrity by preventing enrollment-related delays and denials.

Key Responsibilities

• Lead and oversee provider enrollment and credentialing operations.
• Manage and develop Credentialing Coordinators, Supervisor, and Provider Recruitment Coordinator.
• Serve as subject matter expert for provider credentialing, payer enrollment, and delegated credentialing.
• Design and implement process improvements to enhance accuracy, timeliness, and operational efficiency.
• Establish and manage delegated credentialing processes in compliance with NCQA, CMS, and regulatory standards.
• Monitor performance metrics, analyze trends, and deliver actionable reports to leadership.
• Partner with Finance, Operations, Practice Leaders, and executive stakeholders to prevent revenue leakage.
• Ensure full compliance with federal, state, payer, and Trinity Health policies
  
  

Qualifications

• Bachelor’s degree in a related field or equivalent experience required.
• 5–7 years of progressive experience in provider enrollment, credentialing, or revenue cycle operations.
• 3–5 years of management experience in a healthcare or multi-facility environment, integrated health care delivery system, revenue cycle, or consulting experience.
• 2–4 years of delegated credentialing experience preferred.
• Strong knowledge of payer enrollment regulations, provider documentation, and front-end revenue cycle functions.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Healthcare certification (HFMA, MGMA, LEAN, or similar) preferred.
  
  

Skills & Competencies

• Strong leadership, problem-solving, and process improvement skills
• Data-driven mindset with reporting and analytics experience
• Excellent communication and stakeholder partnership skills
• High attention to detail and commitment to compliance and confidentiality
  
  

Position Highlights And Benefits

• Day shift
• Great benefits effective day 1!
• Competitive pay
• Mission driven team environment
  
  

We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

---