Credentialing Operations Manager

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry. The Credentialing Operations Manager owns the engine of Metro Vein Centers’ payor enrollment output—ensuring every provider, in every state, reaches in-network status accurately, on time, and without revenue leakage. This role is built for a high-volume operator who can drive first-pass accuracy enrollments, and scale production capacity with MVC’s growth. The Operations Manager is accountable for payor enrollment applications, revalidations, expirables management, escalations, provider directory updates, attestations, and the day-to-day data integrity that keeps the revenue cycle clean. How You’ll Make a Difference Own end-to-end payor enrollment across commercial, Medicare, and Medicaid plans—initial applications, follow-ups, attestations, recredentialing, and revalidations—for all MVC clinics, physicians, and APPs. Operate with clear ownership (state-by-state) for application throughput, payor follow-up cadence, and SLA adherence in each market. Manage the expirables program (DEA, state licenses, board certifications, malpractice, CLIA) using CredentialStream’s alerting module; eliminate lapses before they impact billing. Drive first-pass submission accuracy as a core KPI. Audit submissions before they leave the team and after approval is received. Own provider change management: NPI/Tax ID updates, location adds, demographic changes, payor portal updates, and CAQH attestations across all active payors. Serve as the operations-side partner to RCM—resolving credentialing-driven denials, enrollment gaps, and payor discrepancies, and feeding root-cause learnings back into the team. Build and maintain the operations KPI scorecard: enrollment turnaround time, approval cycle time, first-pass accuracy, expirables compliance, and denial impact dollars. Lead training, auditing, and QA for the operations team—including new specialists, offshore partners, and cross-training across states to eliminate single-points-of-failure. Partner with the Credentialing Growth Manager to ensure smooth transitions from new-provider onboarding into ongoing payor maintenance and revalidation cycles. Drive automation roadmap inside CredentialStream—payor portal automation and sunsetting of legacy spreadsheets and manual trackers. Manage and develop operations specialists (onshore and offshore), set SLAs, KPIs, and own service-level adherence with external vendors. Special projects as assigned. Required Education & Experience Bachelor’s degree or an equivalent number of years of relevant experience. 5–8 years of direct payor enrollment and credentialing experience within a multi-site, multi-state healthcare organization, with at least 3 years in an operations-focused leadership or supervisory role. Deep working knowledge of commercial, Medicare, and Medicaid enrollment workflows, CAQH, PECOS, NPPES, and payor portal mechanics. Demonstrated track record managing high-volume application pipelines and driving measurable improvements in turnaround time and first-pass accuracy. Strong analytical skills—able to build and operate KPI dashboards, identify bottlenecks, and quantify revenue impact of enrollment delays. Hands-on proficiency with credentialing software platforms (e.g., CredentialStream, Modio, Symplr) and contract/RCM tools (e.g., Rivet, Athena). Proven ability to manage offshore or vendor production capacity to defined SLAs and quality standards. Excellent communication and escalation skills across RCM, Operations, Finance, and external payor representatives. Preferred Experience Experience inside a high-growth MSO, specialty medical group, ASC platform, or PE-backed healthcare organization adding multiple markets per year. Prior experience standing up or scaling a credentialing team through a step-change in headcount (e.g., doubling specialists, integrating offshore production). Familiarity with vascular/vein, cardiology, or other office-based procedural specialty enrollment nuances (ancillary vs. professional billing rules, site-of-service considerations). • Prior CredentialStream or other credentialing software implementation or optimization experience. Benefits to Support Your Wellbeing & Lifestyle Full-time team members at Metro Vein Centers are eligible for: Medical, Dental, and Vision Insurance 401(k) Paid Time Off (PTO) + Paid Company Holidays Company-Paid Life Insurance Short-Term Disability Insurance Employee Assistance Program (EAP) Career Growth & Development Opportunities #LI-Remote The Metro Vein Centers Difference Healthy legs. Happier lives. At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. A team united by purpose. Our values guide everything we do: Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for. Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients. A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy. Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes. Commitment to Growth – We invest in our people, fostering advancement and professional development at every level. Metro Vein Centers is an Equal Opportunity Employer. We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination. Legal & Compliance Notice: Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request. Your privacy matters. To learn more about how we collect, use, and protect your information, please review our privacy policy here.