# Manager, Credentialing at Aspirion in Las Vegas, Nevada,… > Manager, Credentialing at Aspirion in Las Vegas, Nevada, United States. Category: Operations Jobs. View full job details and apply now on Confidential… # Manager, Credentialing Aspirion ## Job Description About Aspirion About the Role Impact you will make What you will do - Demonstrate and promote Aspirion's mission, vision, and core values in all interactions. - Provide leadership, direction, coaching, and support to Credentialing Specialists and Lead Credentialing Specialists. - Oversee daily credentialing operations, including initial credentialing, recredentialing, payer enrollment, provider demographic updates, and maintenance of provider records. - Establish and monitor team performance expectations related to productivity, quality, accuracy, turnaround times, and service-level requirements. - Review operational reports and key performance indicators to identify trends, risks, and opportunities for improvement. - Ensure credentialing applications and documentation are complete, accurate, and submitted within required timelines. - Monitor provider credentialing and enrollment status and proactively identify potential delays or barriers. - Serve as an escalation point for complex credentialing issues, payer discrepancies, and provider enrollment concerns. - Research and resolve credentialing issues by partnering with payers, providers, clients, and internal departments. - Ensure all provider information and credentialing documentation is maintained accurately and securely. - Oversee the verification of provider credentials, including licenses, certifications, education, training, work history, sanctions, exclusions, malpractice coverage, and other required information. - Ensure credentialing activities are completed in accordance with payer requirements, regulatory standards, client expectations, and company policies. - Partner with internal teams, including Operations, Client Success, Revenue Integrity, Quality, Compliance, and The People Team, to resolve credentialing-related issues. - Develop and implement process improvements that increase efficiency, reduce errors, and improve credentialing turnaround times. - Identify opportunities for automation, standardization, and workflow optimization. - Lead and support the implementation of new credentialing processes, payer requirements, systems, and client initiatives. - Conduct regular one-on-one meetings, team meetings, coaching sessions, and performance reviews. - Support recruitment, onboarding, training, and development of credentialing teammates. - Identify opportunities to develop Lead Credentialing Specialists and other high-performing teammates for future leadership roles. - Partner with The People Team on employee relations matters, performance management, corrective actions, and other employment-related concerns. - Maintain strong relationships with internal and external stakeholders and provide timely communication regarding credentialing status and escalations. - Prepare and present operational reports and performance updates to senior leadership as needed. - Maintain current knowledge of credentialing regulations, payer requirements, healthcare industry standards, and applicable regulatory changes. - Ensure compliance with HIPAA, NCQA standards, payer requirements, company policies, and all applicable federal and state regulations. - Participate in special projects and perform additional duties as assigned. What you will bring - Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, or a related field preferred. - High school diploma or equivalent required. - Minimum three years of credentialing, provider enrollment, healthcare operations, or related experience. - Minimum two years of supervisory or management experience preferred. - Strong knowledge of provider credentialing, recredentialing, payer enrollment, and provider data management processes. - Working knowledge of healthcare payer requirements and credentialing standards. - Experience managing team performance and operational metrics. - Strong analytical and problem-solving skills with the ability to identify trends and develop effective solutions. - Excellent written, verbal, and interpersonal communication skills. - Demonstrated ability to coach, mentor, and develop team members. - Strong organizational and time management skills with the ability to manage multiple priorities and deadlines. - Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, Teams, and PowerPoint. - Ability to work effectively in a fast-paced, deadline-driven environment. What we would like to see - Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, or a related field. - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification. - Experience with CAQH, PECOS, NPPES, state licensing systems, and payer enrollment portals. - Experience working with credentialing software or provider data management systems. - Knowledge of NCQA, CMS, Medicare, Medicaid, and commercial payer credentialing requirements. - Experience managing credentialing for multiple clients, health systems, or provider groups. - Experience leading process improvement and workflow optimization initiatives. - Experience managing remote or hybrid teams. - Demonstrated success improving credentialing turnaround times, quality, and operational efficiency. - Experience developing reports and analyzing credentialing performance metrics. Core expectations - Demonstrate integrity, professionalism, and accountability in every interaction. - Lead by example while promoting Aspirion's mission, vision, and core values. - Foster a culture of accuracy, accountability, collaboration, and continuous improvement. - Maintain compliance with HIPAA, NCQA standards, payer requirements, company policies, and all applicable federal and state regulations. - Protect confidential provider, patient, client, and company information. - Promote consistent adherence to credentialing policies, procedures, and regulatory requirements. - Invest in teammate development through coaching, mentoring, and ongoing education. - Champion process improvement and operational excellence. - Build strong partnerships with internal teams, providers, clients, and external payer organizations. - Ensure credentialing activities are completed accurately, timely, and in accordance with established standards. 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