Healthcare Credentialing Manager

For more than 45 years, Careington International has been a leader in the health and wellness benefits space. Since its founding in 1979, Careington has been delivering dental discount solutions as its core competency. Today, Careington has expanded to offer a growing portfolio of 150+ health, wellness, lifestyle and virtual health products and services designed to deliver cost savings across a spectrum of life needs. Through its affiliated nationally licensed third-party administrator (TPA), Careington also delivers full-scale administrative services, including customer service, licensed enrollment, claims administration, individual and group billing.

This role will initially be worked in the office minimum 3 days a week and 2 days from home. At some point and time in 2027 (Spring to Summer) will revert to five days in the office.

Expected Work and Performance  

• Lead, coach, and develop a team to manage credentials for members in the Careington network.

• Model high-quality leadership behaviors that reinforce accountability, ownership, curiosity, and member-first thinking.

• Fully own the Credentialing function including strategy, process development, execution, and KPI achievement of the team.

• Ensure members of the dental network provide accurate, timely, and compliant credentials.

• Monitor key accounts and metrics to ensure operational excellence.

• Identify, prioritize, and lead strategic initiatives that improve scalability and reduce complexity.

• Collaborate cross-functionally with members of Dental Network Development and Account Management to ensure strong external relationships.

• Maintain rigorous quality assurance standards to ensure credibility.

• Responsible for the accuracy and integrity of the credentialing and re-credentialing database.

• Ensure compliance with rules and regulations.

• Create, own, and maintain communication and follow-up guidelines.

• Perform quality audit and review.

Qualifications 

Required

• Bachelor’s degree in Business or a related field.

• 5+ years of experience in credentialing, clerical office work, or a related field

• Good computer skills and experience with MS Applications - Excel, Word, Outlook, etc.

Preferred

• 2+ years of experience in a leadership role.
• Dental Credentialing Experience 

Additional Skills  

• Strong organization skills with excellent attention to detail.
• Excellent written and verbal communication skills with the ability to communicate effectively with various levels of leadership.
• Demonstrated enthusiasm with a drive to success within a team environment.
• Highly organized with exceptional attention to detail.
• Ability to multi-task in a fast-paced environment.
• Maintain confidentiality with vulnerable information.

Physical Requirements 

Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to walk short distances.

Required to stand, walk, and sit; talk or hear, both in person and by telephone; use hands to finger, handle or feel objects or controls; reach with hands and arms. Regularly required to stoop, kneel, bend, crouch and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, depth perception, color vision and the ability to adjust focus.