Senior Credentialing Operations Manager Senior Credentialing Operations Manager

Senior Credentialing Operations Manager CVS Health 2.7 ( ) Columbus, OH Why you should apply for a job to CVS Health : 62% say women are treated fairly and equally to men 52% say the CEO supports gender diversity Ratings are based on anonymous reviews by Fairygodboss members. See all reviews # R... Position summary e of company programs and initiatives to assess progress against goals. Formulates and implements strategy for the credentialing operations unit to support business objectives and initiatives. Counsels internal and external stakeholders on business review and credentialing services projects and issues. Drives the audit process including error correction and rebuttal. Reviews audit results for accuracy and provides guidance on items with critical business implications. Partners with network management and provider relations, provider services, health delivery associates, and other cross functional areas to manage provider/producer issues. Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs. Responsible for managing a team up to 20 employees. Required Qualifications A minimum of 5 years working with provider data, network, relations, or credentialing. A minimum of 3 years managing/leading a team. Experience working in Medicare, Medicaid, or Commercial Health Insurance. Preferred Qualifications Experience working in credentialing operations. Strong written and verbal communication. Education Bachelor's degree preferred or a combination of professional work experience and education. Pay Range The typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit anticipate the application window for this opening will close on: 09/20/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Why you should apply for a job to CVS Health : 62% say women are treated fairly and equally to men 52% say the CEO supports gender diversity Ratings are based on anonymous reviews by Fairygodboss members. See all reviews