Manager Credentialing - Credentialing Resource Office

Title: Manager Credentialing - Credentialing Resource Office

Location: United States

Credentialing Resource Office

Network Management

Regular

Full-time

1

USD $82,770.45/Yr.

USD $82,770.45/Yr.

47208

Job Description:

Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. 

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.  

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values: 

• Clinical quality 
• Integrity 
• Service excellence 
• Teamwork 
• Accountability 
• Continuous improvement 
• Inclusion 

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.    

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. 

Your ideas should inspire change. If you join our team, they will. 
Responsibilities

The CRS Team Manager is responsible for leading and supporting a team of Credentialing Specialists to ensure the effective delivery of credentialing services across assigned facilities. This role ensures compliance with regulatory and accreditation standards while promoting operational excellence, team development, and high-quality service delivery.

The Manager operates in alignment with organizational values, mission, and vision, and plays a critical role in strengthening medical staff credentialing processes, compliance, and partnership with facility leadership.

Key Responsibilities

Leadership & Team Management

• Supervise, coach, and support Credentialing Specialists to ensure performance, productivity, and service quality goals are met.
• Assign workloads, balance priorities, and monitor team performance.
• Identify staffing needs and communicate resource concerns to leadership.
• Assign and oversee completion of special projects.

Credentialing Operations Oversight

• Direct and implement credentialing processes in collaboration with the Associate Director and CRS leadership.
• Oversee initial and reappointment credentialing processes for assigned facilities.
• Conduct audits of credentialing files and processes to ensure accuracy and compliance.
• Ensure proper documentation, recordkeeping, and file maintenance standards are upheld.

Regulatory & Accreditation Compliance

• Maintain comprehensive knowledge of credentialing regulations and standards (Joint Commission, AAAHC, AAAA, CMS, NPDB, and state requirements).
• Ensure compliance with medical staff bylaws, credentialing policies, and regulatory requirements.
• Lead facility preparation for surveys and accreditation reviews.
• Monitor compliance trends and implement process improvements as needed.

Facility & Stakeholder Support

• Serve as a subject matter expert for credentialing and privileging standards.
• Provide guidance to facility leadership, medical staff offices, and credentialing personnel.
• Support governance functions related to physician quality and privileging.
• Maintain strong professional relationships with internal and external stakeholders.
• Support assigned credentialing specialists during accreditation surveys.

Quality Assurance & Process Improvement

• Promote consistency and standardization across credentialing practices.
• Identify opportunities for process improvement and operational efficiency.
• Ensure all electronic forms, policies, and procedures remain up to date and compliant.

Communication & Collaboration

• Participate in meetings, committees, and conference calls as required.
• Communicate effectively with leadership, staff, and external partners.
• Foster a collaborative and team-oriented environment.

Additional Duties

• Perform other duties as assigned by leadership.

Qualifications

Education & Experience

• High school diploma or equivalent required
• Bachelor’s degree preferred
• CPCS (Certified Professional Credentialing Specialist) required
• Extensive experience in credentialing and medical staff services required
• Surgical center or healthcare facility experience preferred

Knowledge & Skills

• Strong knowledge of credentialing processes, medical staff services, and regulatory frameworks
• Familiarity with accreditation standards (Joint Commission, AAAHC, AAAA) state requirements, and CMS Conditions of Coverage
• Experience with NPDB querying and compliance requirements
• Proficiency in MD-Staff or similar credentialing systems preferred
• Strong leadership, decision-making, and problem-solving skills
• Excellent organizational, time management, and prioritization abilities
• Effective communication and presentation skills
• Ability to manage multiple priorities in a fast-paced environment
• High level of professionalism and attention to detail

Interpersonal Expectations

• Demonstrate professionalism, respect, and integrity in all interactions
• Maintain positive working relationships with physicians, administrators, team members, and external agencies
• Promote teamwork and collaboration aligned with organizational standards

Work Environment

• Primarily remote position
• Occasional travel required for meeting attendance
• Requires regular interaction with internal teams and external stakeholders
• Ability to adapt to changing priorities and work demands

USD $82,770.45/Yr. USD $82,770.45/Yr.