Impress employers and recruiters.
Choose from hundreds of resume examples.

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

Premier Care Dental Management is seeking a Credentialing Operations Manager to oversee credentialing, provider enrollment, and payer participation. This role supports multi-state dental offices and focuses on building efficient, scalable processes to support continued growth. The ideal candidate thrives in a fast-paced environment and solves operational challenges.

Responsibilities

• Lead, coach, and develop a team of credentialing and provider enrollment specialists.
• Oversee initial credentialing, recredentialing, provider enrollment, revalidation, and demographic maintenance for providers and locations.
• Partner closely with the Vice President of Payor Relations to help build and expand delegated credentialing program, operational infrastructure, and broader strategic initiatives.
• Develop, document, implement, and continuously improve credentialing workflows, standard operating procedures, and operational best practices.
• Monitor key performance indicators, identify operational bottlenecks, recurring payer issues, and opportunities for automation and process improvement.
• Perform routine quality audits of credentialing files, enrollment records, delegated credentialing documentation, and operational processes to ensure ongoing compliance and audit readiness.
• Lead the operational implementation and ongoing administration of delegated credentialing programs with contracted payers.
• Ensure credentialing and recredentialing activities comply with delegation agreements, payer policies, applicable regulatory standards, accreditation requirements, and internal policies.
• Maintain complete and compliant credentialing files, committee documentation, policies, procedures, reports, and quality assurance records.
• Serve as the primary operational escalation point for provider enrollment, payer participation, and credentialing issues.
• Lead credentialing activities associated with provider onboarding, new office openings, acquisitions, mergers, provider transitions, and market expansion.
• Maintain operational dashboards and reports related to application status, aging, provider readiness, recredentialing, expirables, audit compliance, and staff productivity.
• Collaborate with Revenue Cycle Management, Integrations, Finance, Business Intelligence, Information Technology, Talent Acquisition, and other cross-functional departments to support provider readiness, delegated credentialing initiatives, and organizational growth.

Requirements

• Minimum of 4–5 years of credentialing and provider enrollment experience within a Dental Service Organization (DSO) or other multi-location dental organization.
• Demonstrated experience working within a delegated credentialing environment.
• Strong knowledge of provider enrollment, recredentialing, CAQH, NPPES, commercial dental payer credentialing, and provider data management.
• Demonstrated leadership experience managing credentialing operations and supporting high-performing teams.
• Highly organized with exceptional attention to detail.
• Excellent written and verbal communication skills.
• Proven ability to work independently while managing multiple competing priorities.
• Demonstrated success working in a fully remote environment.

Skills

• Microsoft 365
• DocHub
• Asana
• DentalxChange
• Power BI
• Dental EMR (Denticon a plus!)
• Smartsheet
• Automated tracking systems

Location

• Remote
• NY headquarters locations (for travel)

Work Type

• Full-time
• Remote
• Travel as needed

Experience Level

• 4-5 years of credentialing and provider enrollment experience
• Demonstrated leadership experience

Salary/Compensations

• $80,000 - $95,000

Benefits

• Flexible Health and Vision Insurance Plans
• 401(K) Retirement Plan with Matching
• Generous Paid-Time Off (up to 3 weeks)
• Annual 'you' day for self-care
• Exclusive In-house Dental Program (heavily discounted services)
• Extra Perks and Fringe Benefits
• Incredible work environment with opportunity for massive growth

About the Company

• Premier Care Dental Management is a growing dental practice management company supporting multi-state dental offices.
• PCDM offers a modern practice environment designed for superior care and comfort, embracing cutting-edge technology.
• The company cultivates a warm, supportive culture emphasizing health over sales, without production quotas.
• PCDM supports and encourages career growth.

Equal Opportunity

• PCDM provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression.
• As an Equal Opportunity Employer, PCDM promotes a work environment where all differences are respected.