Asst Mgr, Managed Care
Baptist Health
Orlando, Florida(remote)
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JOB DETAILS
SKILLS
Accreditation Standards, Advanced Practice Nurse (APN), Aged Care, Analysis Skills, Animal Care, Auto Insurance, Childcare, Claims Processing, Communication Skills, Database Administration, Database Report Tools, Detail Oriented, Flexible Spending Accounts, Government, Health Plan, Healthcare, Healthcare Providers, High School Diploma, Identify Issues, Leadership, Maintain Compliance, Managed Care, Medicaid, Medicare, Mentoring, Multitasking, National Committee for Quality Assurance (NCQA), Onboarding, Physician Credential, Primary Care, Process Development, Process Improvement, Quality Management, Regulations, Reimbursement, Retirement Plan, Risk Management, Team Lead/Manager, Team Player, Time Management, Tuition Reimbursement, Utilization Review Accreditation Commission (URAC)
LOCATION
Orlando, Florida
POSTED
2 days ago
Assistant Manager, Managed Care (Credentialing)
Fully Remote
Full-Time | Monday – Friday | 8:00 AM – 5:00 PM CT
Join a Team That Keeps Healthcare Moving
We’re seeking a highly skilled Assistant Manager, Managed Care (Credentialing) to support and lead credentialing operations across a dynamic healthcare network. In this role, you’ll play a critical part in ensuring providers are accurately credentialed and compliant—directly impacting patient access, reimbursement, and organizational success.
If you thrive in a fast-paced environment, enjoy leading teams, and are passionate about regulatory excellence, this is your opportunity to step into a meaningful leadership role.
About Baptist Health Medical Group
Baptist Health Medical Group is a physician-led group established on a foundation of compassionate care and clinical excellence. Guided by this commitment to compassion and excellence, our teams of physicians, advanced practice professionals, nurses, clinicians and office staff work together to meet every patient’s total healthcare needs.
As part of Baptist Health’s extensive network of comprehensive healthcare services, Baptist Health Medical Group is committed to providing the community easy access to integrated care. Our expansive range of practices offer close-to-home locations and convenient appointment options.
Providing expert care in over 18 areas of focus — from primary care to specialty institutes — Baptist Health Medical Group includes more than 600 physicians and advanced practice professionals.
Baptist Health Offers Great NEW Competitive Pay and Great Benefits Package that Includes:
- Medical, Dental, Vision
- 403(b) Retirement Savings Plan
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Paid Time Off (up to 5 weeks to start)
- Life Insurance
- Extended Leave Plan (ELP)
- Family Care (childcare, elder care, pet care)
- Paid Parental Leave
- Pet Insurance
- Car Insurance
- Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt
ALL BENEFITS START DAY ONE
Responsibilities:
What You’ll Do
- Lead and coordinate credentialing and re-credentialing activities for physicians, advanced practice providers, and healthcare professionals.
- Ensure compliance with NCQA, URAC, Medicare, Medicaid, and managed care plan standards.
- Delegate and oversee workflow of Credentialing Specialists while maintaining high-quality output.
- Review completed provider files for accuracy, compliance, and risk mitigation.
- Serve as a subject matter expert and troubleshoot complex credentialing issues.
- Support physician onboarding and collaborate with internal departments to ensure seamless provider setup.
- Analyze reports and maintain credentialing database integrity to support claims and collections processes.
- Build and maintain relationships with managed care plans and government payers to ensure timely processing.
- Train, mentor, and develop team members to drive performance and growth.
Qualifications:
What You Bring
- 5+ years of experience in managed care and/or governmental payer credentialing
- Strong knowledge of credentialing regulations, policies, and accreditation standards
- Proven leadership skills with the ability to supervise workflows and mentor team members
- Excellent attention to detail and ability to manage multiple priorities in a deadline-driven environment
- Strong communication skills with the ability to collaborate across departments and with providers
- High School Diploma required
What Sets You Apart
- Experience working with credentialing databases and reporting tools
- Ability to identify process improvements and implement solutions
- Strong analytical mindset focused on minimizing risk and ensuring compliance
- A collaborative, team-first approach with a commitment to excellence
About the Company
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