credentialing manager

Orlando Health

<div>Position Summary:
<div>
Status: Full-Time</div><div>
Location: NEW Lakeland Highlands Hospital, Lakeland, FL-Fully onsite</div><div></div><div> 
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida&rsquo;s east to west coasts and beyond.</div><div></div><div> 
ORLANDO HEALTH - BENEFITS &amp; PERKS:</div><div>
All Inclusive Benefits (start day one)</div><ul><li>
Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.</li></ul><div>
Forbes Recognizes Orlando Health as a Best-In-State Employer</div><ul><li>
Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. &quot;We are proud to be named once again as a best place to work,&quot; said Karen Frenier, VP (HR). &quot;This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.</li></ul><div></div><div> 
Position Summary
 
The Medical Staff Services Credentialing Manager is responsible for overseeing the development, implementation, and integrity of the initial credentialing and reappointment activities in accordance with regulatory and accreditation standards, as well as the Orlando Health Bylaws, Policies and Procedures, Rules &amp; Regulations. This position also manages team member functions and accountability.</div>
Responsibilities:
<div>
Essential Functions
 
<ul><li>The Manager, Credentialing, Medical Staff Services effectively implements administrative and operational activities of the Medical Staff and its Leadership. Operationalizes results of discussions, recommendations, and actions of the Medical Executive Committee and the Credentials Committee.
</li><li>Exhibits extensive attention to detail and requires attention to detail from all team members.
</li><li>Exhibits and promotes within the Medical Staff Services team excellent customer service to Medical Staff leaders, medical staff members, medical staff applicants, hospital administration, and internal and external customers.
</li><li>Implements all credentialing and privileging processes and procedures for all physicians and allied health practitioners, including establishing qualifying criteria for initial appointment.
</li><li>Formulation and revision of all application materials; professional profiling for reappointment.
</li><li>Assists direct leader, in concert with legal counsel and Medical Staff Leadership, to facilitate amendments to Medical Staff governance documents to ensure compliance with regulatory, statutory, legal, and accreditation bodies and their required
</li></ul>standards, as well as with Medical Staff Bylaws, Policies/Procedures, and Rules &amp; Regulations for all facilities.
 
<ul><li>Assists direct leader with physician investigations (both behavioral and clinical competency), notifies practitioner of adverse action, and administers the Fair Hearing &amp; Appeal Process, as required.
</li><li>Primary responsibility for orientation and training, system upgrades/updates, and systems reporting to all downstream systems from the credentialing database workflow system.
</li><li>Creates implements and reconciles clinical privileges to numerous internal clinical service areas.
</li><li>Responsible for planning, organizing, leading and directing Medical Staff Services credentialing team activities; appropriately addresses staffing needs, hires, trains, evaluates, coaches and manages team, including establishing goals and objectives for the development of departmental human resources.
</li><li>Assists direct leader with preparing, tracking, and manages fiscal budget and restricted account.
</li><li>The Credentialing Manager will ensure that the credentialing database workflow system use is maximized.
</li><li>The Credentialing Manager of the Medical Staff Office is a supportive, effective, efficient team member dedicated to meeting the needs of the Medical Staff and its Leadership.
</li><li>Educates team members on organizational objectives and ensures their understanding of the team's part in meeting those objectives.
</li><li>Manages various personnel functions including hiring, work assignments, coaching plans, and disciplinary actions for the medical staff office personnel.
</li><li>Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
</li><li>Maintains compliance with all Orlando Health policies and procedures.</li></ul></div><div></div><div> 
Other Related Functions
 
<ul><li>Operates with independent judgment on behalf of the Chief of Staff and the Credentials Committee Chairman
</li><li>Coordinates and works effectively with the Health Information Management, Regulatory, Infection Control, Quality Teams, and all other departments that impact the Medical Staff at the organization
</li><li>Participates in regional and National Associations for the advancement of the medical staff organization, credentialing and privileging, and medical staff services professionals. Represents Orlando Health through community interaction and related
</li></ul>organizations.
 
<ul><li>Continually updates skills, knowledge and certification. Conducts literature reviews and research on changes in medical staff privileging and makes proposals to enhance credentialing and privileging activities within the organization.
</li><li>Actively participates in professional organizations, including FAMSS, etc. for networking purposes</li></ul></div>
Qualifications:
<div>
Education/Training
 
Bachelor's degree in Healthcare Administration and Management, or a related field OR 8 years of experience in Medical Staff Services credentialing and operations may be substituted for bachelor&rsquo;s degree.</div><div> 
Licensure/Certification
 
CPCS or CPMSM certification required within 2 years of hire.</div><div> 
Experience
 
Five (5) years of experience interacting with hospital administration, Medical Staff Leadership, Medical Staff physicians, credentialing activities and/or two years directly related medical staff support experience. Significant experience in use of
 
workflow systems and development of reporting. Experience with change management and streamlining of workflow processes.</div></div>

Mgr, Credentialing, MSS

OneOncology

<div>OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology&rsquo;s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
The Credentialing Specialist will report to OneOncology&rsquo;s Credentialing Manager. The credentialing specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.
Responsibilities<ul><li>
Credentialing and re-credentialing of physicians and allied health professionals</li><li>
Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
</li><li>Apply and validate hospital privileges</li><li>
Obtain malpractice insurance policy</li><li>
Notification to staff of completion of credentialing for scheduling and billing</li><li>
Maintain and update CAQH online credentialing application for all providers quarterly.
</li><li>Database management/provider files</li><li>
Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
</li><li>Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel</li><li>
Provider continuing education</li><li>
Track continuing education credits for all providers</li><li>
Notify providers of any deficiencies</li><li>
Submit documentation if providers are audited</li><li>
Termination of physician and/or allied health professional</li><li>
Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
</li></ul>Key Competencies<ul><li>
Proficient with MS Office Suite (word, excel) and web-based applications</li><li>
Ability to maintain verbal and written communications in a confidential manner</li><li>
Detail oriented with strong organizational skills</li><li>
Excellent interpersonal skills &ndash; team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines &ndash; works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrates research and problem-solving skills</li></ul>
Qualifications<ul><li>
High school diploma and 2+ years of related experience.
</li><li>Bachelor&rsquo;s degree preferred.
</li><li>Training experience preferred but not required</li><li>
Industry experience leading credentialing activities in large provider practice (or multiple practices) is required</li><li>
Certifications preferred but not required</li><li>
Working remote with Travel flexibility as needed.</li></ul><h3 class="jobSectionHeader">
#LI-REMOTE</h3></div>

Credentialing Specialist

CureMD

<div>Job Overview:
CureMD is looking for Associate Credentialing Executive to join our Credentialing team. This role is ideal for someone who is detail-oriented, organized, and interested in building a career in healthcare operations, provider enrolment, and payer credentialing. The Associate Credentialing Executive will support the credentialing and enrollment process for healthcare providers by preparing applications, maintaining provider data, coordinating with payers, tracking application statuses, and ensuring timely follow-ups. The role requires strong communication skills, accuracy, ownership, and the ability to work in a deadline-driven environment.
Job Responsibilities:<ul><li>
Assist in preparing, submitting, and tracking provider credentialing, re-credentialing, and payer enrollment applications for individual providers, groups, practice locations, and Tax IDs.</li><li>
Compile, verify, and maintain provider credentials and supporting documentation, including licenses, certifications, NPIs, DEA registrations, malpractice coverage, education, work history, and practice information.</li><li>
Maintain accurate provider data across credentialing systems, payer portals, CAQH profiles, and internal tracking tools, ensuring information remains current and compliant.</li><li>
Monitor application progress through the credentialing and enrollment lifecycle, including submission, status follow-up, approval, provider ID issuance, and effective date confirmation.</li><li>
Coordinate with payers, providers, and internal stakeholders to obtain required information, resolve enrollment-related issues, and facilitate timely application processing.</li><li>
Track document expiration dates, credential renewals, and CAQH attestations to ensure continuous provider compliance and participation.</li><li>
Maintain accurate records of enrollment statuses, payer IDs, approvals, effective dates, and related credentialing activities.</li><li>
Escalate complex issues, payer delays, application rejections, missing documentation, or closed panel situations to senior team members or management for resolution.</li><li>
Support operational readiness by coordinating with internal teams to ensure providers are prepared for billing and service delivery following enrollment approval.</li><li>
Adhere to departmental procedures, quality standards, compliance requirements, and established service level expectations while performing credentialing and enrollment activities.</li></ul> 
Qualifications:<ul><li>
Bachelor&rsquo;s degree or above.</li><li>
Basic understanding of healthcare, provider enrollment, credentialing, or medical billing.</li><li>
Good written and verbal communication skills.</li><li>
Strong attention to detail and ability to manage multiple tasks.</li><li>
Proficiency in Microsoft Word, Excel, Outlook, and general computer applications.</li><li>
Ability to work in US timings.</li></ul> 
Compensation &amp; Benefits: 
Financial:<ul><li>
Competitive salary and bi-annual bonus.</li><li>
Fast track and uncapped career growth for high performers.</li><li>
Company-sponsored vehicle financing (car and bike).</li><li>
Interest-free loans.</li><li>
Provident Fund: CureMD matches up to 8% of your base salary.</li></ul> 
Health and Wellness:<ul><li>
In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.</li><li>
Hospital treatment monitoring by company doctors.</li><li>
Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity and parents' inpatient).</li><li>
Exclusive health benefits and discounts at top class clinics and labs.</li></ul> 
Supportive Workplace:<ul><li>
Pick-up and drop-off services for female employees.</li><li>
In-house daycare facility.</li><li>
In-house gym and recreational area to unwind.</li></ul> 
Continued Learning:<ul><li>
Company-sponsored trainings, workshops, development programs and retreats.</li><li>
Paid specialized trainings/certifications.</li></ul> 
The Difference You&rsquo;ll Make: 
At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you&rsquo;ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we&rsquo;re not just advancing technology &mdash; we&rsquo;re making a tangible difference in people&rsquo;s lives. Together, let&rsquo;s save lives.</div>

Associate Credentialing Executive

J.B. Hunt

<div>ZERO TRUST (ZT) IDENTITYCREDENTIAL MAnagement SME
POSITION OVERVIEW
The Zero Trust Identity Management Technical SME exists to serve as the agency's primary technical advisor for the CISA ZTMM v2.0 identity pillar. This role directly advances TSA's compliance with OMB M-22-09 phishing-resistant MFA requirements and EO 14028 identity modernization mandates by providing senior-level ICAM advisory that translates federal policy into concrete identity architecture recommendations. The expected outcome is a continuously advancing identity pillar maturity posture, with phishing-resistant authentication enforced, privileged access controlled, and identity posture signals integrated into cross-pillar ZT enforcement decisions. This is a senior technical advisory role requiring hands-on ICAM implementation experience, not policy familiarity alone.
DUTIESRESPONSIBILITIES
General duties
<ul><li>Serve as the primary technical advisor for the CISA ZTMM v2.0 identity pillar across identity architecture, authentication, and access management domains.
</li><li>Continuously assess the agency's IAM posture against CISA ZTMM v2.0 identity pillar criteria, OMB M-22-09, and NIST SP 800-63. Proactively surface emerging identity risk indicators and deliver real-time advisory recommendations.
</li><li>Provide technical advisory guidance on phishing-resistant MFA strategies, PIV/CAC enforcement, FIDO2 deployment, and enterprise IdP integration - recommending solutions and implementation pathways for agency decision-making.
</li><li>Evaluate enterprise IAM/IdP platforms (e.g., Entra ID, Okta, Ping Identity) and provide configuration and enhancement recommendations aligned to ZT principles for agency adoption.
</li><li>Advise PAM strategies, RBAC/ABAC models, and least-privilege enforcement aligned to NIST SP 800-207; develop recommended solutions for agency review.
</li><li>Provide advisory support for the development and maturation of identity-related entries in the Common Control Catalog (CCC), ensuring traceability to NIST SP 800-53 rev. 5 control families.
</li><li>Develop recommended identity pillar inputs to the ZT roadmap, IG FISMA maturity reporting, and enterprise performance reporting for agency review and approval.
</li><li>Collaborate with device, network, and application SMEs to ensure identity-based enforcement integrates coherently across all ZTMM pillars.
</li><li>Review identity-related policy documents and SOPs; identify gaps relative to ZT mandates and develop recommended updates for agency concurrence.
</li><li>Support all identity-related ZT data calls, audits, and compliance reporting by providing advisory analysis and recommended responses.
</li><li>Prepare and present technical findings, maturity assessments, and advisory recommendations to senior leadership and the CISO.
</li><li>Leverage AI-assisted analysis tools, automation platforms, and prompt engineering techniques to enhance advisory productivity, accelerate gap analysis and documentation tasks, and enable focus on higher-value technical advisory work; apply all AI capabilities in accordance with agency acceptable use policies and Zermount's ethical AI use guidelines.
</li></ul>SUBJECT MATTER EXPERTISE
SME Area #1 &ndash; IdentityAccess Management Architecture, ICAM advisory
<ul><li>Expert-level mastery of ICAM architecture and authentication engineering including enterprise IAM/PAM/IdP design, phishing-resistant MFA implementation (PIV/CAC enforcement, FIDO2) deployment, and federated identity frameworks demonstrated through operational implementation experience, not framework study.
</li><li>Authoritative knowledge of NIST SP 800-63, NIST SP 800-207 identity tenets, CISA ZTMM v2.0 identity pillar criteria, OMB M-22-09, and federal ICAM policy requirements; ability to independently interpret and apply evolving guidance.
</li><li>Expert-level proficiency in enterprise IAM platforms including Entra ID (Azure AD), Okta, or equivalent architecture and configuration design depth, not administrative use.
</li><li>Expert-level knowledge of RBAC, ABAC, and PAM architectures to support Just Enough, Just In Time (JEJIT) access principles in federal environments; demonstrated ability to advise on least-privilege policy design and privileged account governance.
</li><li>Independent decision-making authority on identity pillar advisory scope, maturity assessment methodology, and recommended advancement approach.
</li><li>Problem-solving at the intersection of identity enforcement and cross-pillar ZT integration. Able to identify how identity posture deficiencies create downstream risk in devices, networks, data, and application pillar enforcement.
</li></ul>SME area #2 &ndash; Cloud Identity Platforms, Enterprise InfrastructureProtocol-Level Expertise
<ul><li>Strong foundational knowledge of directory services (Active Directory, LDAP, Entra ID), cloud identity platforms, and enterprise authentication infrastructure at an architecture or engineering level.
</li><li>Hands-on experience with cloud platforms, particularly Azure/Entra ID, AWS IAM, or GCP identity, including conditional access policy design, cross-tenant federation, and hybrid identity architecture.
</li><li>Working knowledge of core identity and network access protocols including OAUTH 2.0, SAML, OIDC, RADIUS, and TACACS+, and their role in enforcing ZT identity-based access decisions.
</li><li>Foundational understanding of network architecture, database access controls, and systems administration concepts sufficient to assess identity enforcement implications across the enterprise stack.
</li><li>Supports identity pillar advisory by enabling technically credible engagement with agency engineers, platform administrators, and cross-pillar SMEs on authentication architecture, access control design, and protocol-level enforcement.
</li><li>Interact directly with other ZT SMEs to support access requirements across pillars.
</li></ul>QUALIFICATIONS
Minimum requirements
<ul><li>A minimum of 10 years of experience supporting identity management, governance, or security, with demonstrated Zero Trust scope.
</li><li>Hands-on experience implementing phishing-resistant MFA solutions including PIV/CAC enforcement and FIDO2/WEBAUTHN deployment in a federal or large enterprise environment.
</li><li>Hands-on experience with federal IAM platforms including Entra ID (Azure AD) or Okta; must extend beyond administration to include ZT-aligned architecture and configuration design.
</li><li>Expert knowledge of NIST SP 800-63, NIST SP 800-207, CISA ZTMM v2.0 identity pillar criteria, and OMB M-22-09.
</li><li>Experience with RBAC, ABAC, and PAM architectures in a federal environment.
</li><li>Demonstrated experience developing and implementing Zero Trust Identity solutions operationally, to include JEJIT access principles.</li><li>
Experience integrating identity posture signals into ZT access enforcement policy decisions.
</li><li>Experience supporting ZT-related IG FISMA metrics reporting pertaining to identity and access management.
</li><li>Strong written and oral communication skills; ability to translate complex technical findings into CISO-ready recommendations.
</li><li>Demonstrated familiarity with ai-assisted analysis tools or prompt engineering; ability to apply AI capabilities ethically to accelerate advisory work and surface higher-value technical insights.
</li></ul>Preferred qualifications
<ul><li>Five years of IT cybersecurity experience, including direct support to the U.S. Government. This experience can be concurrent with the minimum 10 years of identity management, governance, or security</li><li>
Prior direct involvement in implementing access and authorization automations.</li><li>
Prior direct involvement in a ZT Identity Pillar implementation or enterprise ZT deployment in a technical design or advisory capacity.
</li><li>Experience architecting or evaluating ZT-aligned IAM solutions including enterprise IdP integration, federation, and phishing-resistant authentication enforcement.
</li><li>Cloud vendor IAM certification (e.g., Microsoft certified: Identity and Access Administrator SC-300, AWS security specialty).
</li><li>Experience with ICAM roadmap implementation or federal ICAM architecture design.
</li></ul>Competencies
<ul><li>Technical: CISA ZTMM v2.0 identity pillar, NIST SP 800-63, NIST SP 800-207, OMB M-22-09, Entra ID/Azure AD, Okta, PIV/CAC, FIDO2, PAM, RBAC/ABAC, OAUTH 2.0, SAML, OIDC, NIST SP 800-53 control families, AI-assisted analysis.
</li><li>Leadership: Technical advisory leadership for Identity Pillar; cross-pillar SME collaboration and integration; CISO-facing technical briefing and recommendations; advisory engagement with federal engineers and platform administrators.
</li><li>Behavioral: Proactive continuous assessment of posture rather than point-in-time reporting; rigorous technical precision in architecture recommendations; continuous learning orientation toward evolving federal identity standards and platform capabilities.
</li></ul>EducationCertifications<ul><li>
Minimum of a Bachelor of Science (or higher) in Information Technology, Computer Science, Cybersecurity, or related field.</li><li>
Required: Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) or equivalent certification.
</li><li>Strongly preferred: Certified Identity and Access Manager (CIAM) or Microsoft certified: Identity and Access Administrator (SC-300).
</li><li>Strongly preferred: cloud vendor IAM certification (e.g., Microsoft Azure Security Engineer Associate AZ-500, AWS security specialty).
</li></ul>Clearance Level
<ul><li>Active Secret clearance is required.
</li></ul>WORK LOCATION
<ul><li>Hybrid &ndash; primarily remote. Occasional onsite work required at the client location in Springfield, VA and Zermount HQ in Arlington, VA.
</li></ul>HOURS OF OPERATION
<ul><li>Business hours: 8:00 AM EST &ndash; 4:30 PM EST
</li><li>Core hours: 9:00 AM EST &ndash; 3:00 PM EST
</li></ul>REPORTING STRUCTURE
<ul><li>Reports to: ZT SME Team Lead</li><li>
Direct reports: None</li></ul></div>

ZERO TRUST (ZT) IDENTITY & CREDENTIAL MANAGEMENT SME

Personal Growth Counseling Services

<div>The Senior HR Specialist is an experienced human resources professional responsible for managing day-to-day HR operations across the employee lifecycle. This role serves as the primary administrator for recruitment, onboarding, HR systems, compliance, benefits administration, credentialing, and personnel records while providing guidance to employees and managers on routine HR matters. 


Working under the direction of the HR Manager, the Senior HR Specialist ensures HR processes are completed accurately, timely, and in compliance with organizational policies and applicable employment laws. This position also supports audits, reporting, and continuous process improvement to enhance the employee experience and organizational efficiency. 


Key Responsibilities

Recruitment &amp; Onboarding
<ul>
<li>Manage full-cycle recruitment, including job postings, candidate screening, interview coordination, reference checks, and offer preparation.</li>
<li>Coordinate pre-employment requirements, including background checks, drug screens, motor vehicle record (MVR) checks, credential verification, and required documentation.</li>
<li>Facilitate onboarding to ensure new employees complete all required employment paperwork, training assignments, and compliance requirements.</li>
<li>Monitor onboarding progress and partner with department managers to ensure a smooth transition into employment.</li></ul> 


HR Operations &amp; Employee Lifecycle
<ul>
<li>Maintain accurate employee records within BambooHR and other HR systems.</li>
<li>Process employee status changes, promotions, transfers, compensation updates, and terminations.</li>
<li>Maintain job descriptions, organizational charts, and HR documentation.</li>
<li>Coordinate offboarding activities, including exit documentation, benefit notifications, and system access requests.</li>
<li>Respond to employee questions regarding HR policies, benefits, payroll, and employment procedures.</li></ul> 


HRIS Administration &amp; Reporting
<ul>
<li>Serve as the primary administrator for BambooHR and other HR platforms.</li>
<li>Maintain employee data integrity and ensure accurate recordkeeping.</li>
<li>Generate HR reports related to staffing, turnover, onboarding, compliance, training, and other workforce metrics.</li>
<li>Assist the HR Manager by identifying trends and preparing reports for leadership.</li></ul> 


Compliance, Credentialing &amp; Audits
<ul>
<li>Maintain compliance with federal, state, and local employment regulations.</li>
<li>Coordinate personnel file audits to ensure required documentation remains current.</li>
<li>Monitor expirations and renewals for licenses, certifications, CPR, driver's licenses, background checks, and other compliance requirements.</li>
<li>Assist with internal and external audits by preparing documentation and reports.</li>
<li>Support credentialing, payer enrollment, and provider compliance activities as assigned.</li></ul> 


Benefits &amp; Leave Administration
<ul>
<li>Coordinate employee benefit enrollments, qualifying life event changes, and annual open enrollment.</li>
<li>Serve as the first point of contact for routine employee benefit questions.</li>
<li>Assist with leave administration, including FMLA, ADA accommodations, workers' compensation, and other leave programs.</li>
<li>Maintain accurate benefit records and communicate required deadlines to employees.</li></ul> 


Employee Relations Support
<ul>
<li>Provide guidance to managers and employees regarding routine HR policies and procedures.</li>
<li>Prepare documentation for coaching, performance improvement plans, disciplinary actions, and employee meetings.</li>
<li>Escalate complex employee relations matters, investigations, legal concerns, and high-risk situations to the HR Manager.</li>
<li>Promote consistent application of organizational policies and HR best practices.</li></ul> 


Training &amp; Organizational Support
<ul>
<li>Coordinate required employee training through Relias and other learning platforms.</li>
<li>Monitor training completion and compliance requirements.</li>
<li>Assist with employee engagement initiatives, recognition programs, and organizational events.</li>
<li>Recommend improvements to HR processes and administrative workflows.</li></ul> 


Qualifications
<ul>
<li>Bachelor's degree in Human Resources, Business Administration, or a related field preferred, or equivalent experience.</li>
<li>SHRM-CP certification preferred or ability to obtain within an established timeframe.</li>
<li>Minimum of 3 years of progressive Human Resources experience.</li>
<li>Experience in healthcare, behavioral health, or another regulated industry preferred.</li>
<li>Strong working knowledge of employment laws and HR best practices.</li>
<li>Experience administering HRIS platforms, preferably BambooHR.</li>
<li>Experience with benefits administration, onboarding, personnel records, and compliance.</li>
<li>Excellent organizational, analytical, and problem-solving skills.</li>
<li>Strong written and verbal communication skills.</li>
<li>Proficiency with Microsoft Office Suite and HR technology platforms.</li>
<li>Ability to manage multiple priorities while maintaining confidentiality and attention to detail.</li></ul> 


About Personal Growth Counseling Services

At Personal Growth Counseling Services, we believe every individual deserves compassionate, effective, and personalized support on their path to wellness. Based in Toledo, Ohio, our mission is to empower individuals and families to achieve emotional well-being and personal growth through expert mental health services. Our team of dedicated professionals is committed to delivering high-quality, client-centered care while fostering a collaborative, supportive workplace where employees can grow and make a meaningful impact in the communities we serve.</div>

Senior HR Specialist

Plum Dental Group

<div>Centralized Billing Manager &ndash; Plum Dental Group

Reports to: Director of Revenue Cycle Management 
Works closely with: Offshore Billing Manager, Credentialing Team 
Location: Wickford, RI 
Compensation: Flat salary with annual bonus tied to individual and company goals

Role Overview

The Centralized Billing Manager oversees the onshore billing team for a 30+ practice dental group. This role is responsible for managing patient accounts receivable and insurance AR exceptions that cannot be resolved by the offshore team. The ideal candidate has a deep understanding of the full dental RCM lifecycle, a strong operational mindset, and a patient-first approach to billing.

This role focuses on efficiency, accountability, and compassionate communication&mdash;ensuring revenue goals are met while maintaining a high standard of patient care.

Key Responsibilities

Team Leadership &amp; Operations
<ul>
<li>Manage, coach, and support the onshore billing team</li>
</ul><ul><li>Oversee daily, weekly, and monthly billing workflows to ensure timeliness and accuracy</li>
</ul><ul><li>Partner closely with the Offshore Billing Manager to ensure smooth handoffs and clear escalation paths</li>
</ul><ul><li>Assist with hiring, onboarding, and training of new team members</li>
</ul><ul><li>Foster a positive, patient-focused and collaborative team culture</li>
</ul>
Revenue Cycle Management
<ul>
<li>Oversee patient AR and complex insurance AR exceptions</li>
</ul><ul><li>Ensure timely follow-up on unpaid claims, denials, and underpayments</li>
</ul><ul><li>Monitor claim lifecycle performance and identify opportunities to improve speed and accuracy</li>
</ul><ul><li>Ensure compliance with payer guidelines and internal billing policies</li>
</ul><ul><li>Collaborate with Credentialing to resolve payer enrollment or network-related issues</li>
</ul>
Process Improvement &amp; Efficiency
<ul>
<li>Identify inefficiencies in workflows and implement improvements</li>
</ul><ul><li>Standardize processes across practices where appropriate</li>
</ul><ul><li>Support automation and best practices to reduce rework and aging AR</li>
</ul><ul><li>Serve as a subject matter expert for dental billing and insurance processes</li>
</ul>
Patient Experience
<ul>
<li>Ensure patient billing inquiries are handled with empathy, clarity, and professionalism</li>
</ul><ul><li>Support the team in resolving patient balances while maintaining trust and transparency</li>
</ul><ul><li>Reinforce the organization's belief that patient care always comes first</li>
</ul>
Reporting &amp; Accountability
<ul>
<li>Create and deliver regular reporting to the Director of RCM</li>
</ul><ul><li>Track KPIs such as AR aging, collections, denial rates, and team productivity</li>
</ul><ul><li>Ensure team goals and deadlines are consistently met</li>
</ul>
Qualifications

Required
<ul>
<li>4+ years of dental billing and/or insurance RCM experience</li>
</ul><ul><li>2+ years of people management or team lead experience</li>
</ul><ul><li>Strong understanding of the full dental claim lifecycle</li>
</ul><ul><li>Experience handling both insurance and patient AR</li>
</ul><ul><li>Excellent organizational, communication, and problem-solving skills</li>
</ul>
Preferred
<ul>
<li>Experience in a multi-location dental group or centralized billing model</li>
</ul><ul><li>Proven success in process improvement and operational efficiency</li>
</ul><ul><li>Comfort working cross-functionally with offshore teams</li>
</ul>
What We Value
<ul>
<li>Patient-first mindset</li>
</ul><ul><li>Kind, respectful communication</li>
</ul><ul><li>Accountability and ownership</li>
</ul><ul><li>Continuous improvement</li>
</ul><ul><li>Team collaboration</li></ul></div>

Centralized Billing Manager

Enlightened

<div>About Enlightened
Enlightened is seeking a Credentialing Administrative Support Coordinator to support one of our healthcare clients serving the DC Medicaid population. This position is an employee of Enlightened and is dedicated full-time at our client's site. The selected candidate will support provider credentialing and enrollment operations while helping maintain compliance across the provider network.
Position Overview
Location: Washington, DC (SW office &mdash; within walking distance of two Metro stations)
Work Arrangement: ***This position offers a hybrid work schedule, requiring employees to work in the office four days a week and one day remotely<div>
The Credentialing Administrative Support Coordinator provides day-to-day administrative support to the credentialing and enrollment team. This role assists with collecting documentation, preparing provider files, tracking application statuses, and coordinating follow-up with providers and internal departments. The ideal candidate is highly organized, proactive, and comfortable working in a fast-paced, process-driven environment.</div> 
Key Responsibilities<div><ul><li>
Collect, organize, and upload provider documentation required for credentialing and enrollment.</li><li>
Assist with completing credentialing applications using established templates and checklists.</li><li>
Maintain accurate electronic provider files and ensure all required documentation is current and properly labeled.</li><li>
Conduct outreach to providers and office staff to obtain missing information or clarify application details.</li><li>
Track outstanding items and follow up to ensure timely submission.</li><li>
Enter provider information into credentialing systems, spreadsheets, and tracking logs.</li><li>
Update status notes and documentation as applications move through the credentialing workflow.</li><li>
Submit and update internal tickets for provider setup and system activation.</li><li>
Perform quality checks to ensure provider files are complete before review.</li><li>
Support audit readiness by maintaining organized, compliant records.</li></ul></div>
Qualifications<div><ul><li>
1&ndash;2 years of administrative, healthcare operations, or office support experience preferred.</li><li>
Strong attention to detail and the ability to follow structured processes.</li><li>
Excellent organizational and time-management skills.</li><li>
Strong written and verbal communication skills.</li><li>
Proficiency with Microsoft Office (Outlook, Excel, and Word) and the ability to quickly learn new systems.</li><li>
Experience in credentialing, provider data management, provider enrollment, or health plan operations is a plus but not required.</li></ul></div>
What We're Looking For<div><ul><li>
A reliable, detail-oriented team member who enjoys structured, process-driven work.</li><li>
Someone who can effectively manage multiple tasks while maintaining a high level of accuracy.</li><li>
A professional communicator who can interact confidently with providers and internal teams.</li><li>
A candidate who values compliance, organization, and timely follow-through.</li></ul>
Benefits:
At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:<ul><li>
Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)</li><li>
Flexible Spending Accounts (FSA)</li><li>
401(k) Retirement Plan</li><li>
Paid Holidays, Vacation, &amp; Sick Leave</li><li>
Professional Training &amp; Development Reimbursement</li></ul>
Please note, these benefits are available exclusively to full-time employees of Enlightened.
Equal Opportunity Statement
Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability, or any other federal, state, or local protected class.</div></div>

Credentialing Administrative Support Coordinator

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