ABOUT VAXCARE

The healthcare system is complex, presenting challenges for everyone—patients, doctors, nurses, office managers, and billers alike. At VaxCare, we aim to streamline this complexity, eliminating unnecessary costs and confusion so that practices can focus on their important work: caring for patients. Our innovative solutions include a vaccine management and LARC access platform trusted by over 20,000 active providers nationwide. This service is powered by a multidisciplinary team of dedicated professionals who lead with integrity and a relentless drive to exceed expectations, bringing clarity and efficiency to the often-overwhelming world of healthcare.

THE POSITION

Do you want to be a part of company making real impact on the world of healthcare?

Supports VaxCare’s mission to simplify vaccination delivery and empower healthcare partners by ensuring credentialing processes maintain the highest standards of compliance, accuracy, and provider readiness. The Manager of Credentialing plays a vital role in enabling VaxCare’s trusted network to deliver accessible, safe, and efficient preventive care nationwide.

What to expect in this role

The Manager of Credentialing is responsible for overseeing all provider/entity credentialing and privileging functions for VaxCare, ensuring compliance with all regulatory, payer, and accreditation requirements. This role will lead a credentialing team focused on maintaining the integrity of provider data, supporting onboarding and payer enrollment, and optimizing systems to streamline credentialing workflows. The ideal candidate combines operational precision with a strong understanding of healthcare compliance, enabling scalable growth across VaxCare’s expanding network of healthcare partners.

ESSENTIAL RESPONSIBILITIES

Leadership & Operations

• Manage all aspects of the credentialing and recredentialing process for providers and organizational partners.
• Supervise daily operations of the credentialing team, ensuring timely processing of applications, verifications, and approvals.
• Collaborate closely with Market Access, Legal, Compliance, and Revenue Cycle teams to ensure alignment between credentialing, contracting, and onboarding activities.
• Develop and maintain policies and procedures that ensure compliance with payer, CMS, NCQA, and state/federal requirements.
• Monitor key performance indicators (KPIs) for accuracy, timeliness, and efficiency in credentialing workflows.

Compliance & Governance

• Ensure adherence to regulatory and accreditation standards governing credentialing and privileging processes.
• Oversee preparation of files for credentialing review, committee presentation, and payer delegation audits.
• Partner with Compliance and Quality teams to ensure providers meet performance, licensing, and background requirements.
• Maintain audit readiness and lead credentialing-related responses for internal and external reviews.

Technology & Process Improvement

• Implement and manage and optimize credentialing platforms (e.g., Symplr or equivalent system) for automation, data integrity, and reporting.
• Collaborate with IT and Operations to integrate credentialing data into enterprise systems such as EHR, HR, and payer platforms.
• Identify and implement process improvements that reduce turnaround times and enhance provider experience.

Team Development

• Recruit, train, and mentor credentialing staff to ensure consistent quality and regulatory compliance.
• Promote a culture of accountability, collaboration, and continuous learning.
• Provide ongoing education to internal teams and external partners on credentialing requirements and timelines.

REQUIRED EXPERIENCE AND QUALIFICATIONS

Education:

• Bachelor’s degree in Healthcare Administration, Business, or related field.
• Minimum five (5) years of experience in provider credentialing, medical staff services, or payer enrollment, including two (2) or more years in a leadership capacity.

• Master’s degree in Healthcare Administration, Business, or related discipline preferred.
• Experience with delegated payer credentialing or large multi-state provider networks.

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification through NAMSS preferred, or ability to obtain within 12 months of hire.

Knowledge and Skills Required:

• Deep understanding of credentialing and payer enrollment requirements (NCQA, CMS, OIG, CAQH, state boards).
• Strong proficiency with credentialing software systems and Microsoft Office Suite.
• Exceptional organizational, analytical, and problem-solving skills.
• Excellent written and verbal communication skills.
• Proven leadership and ability to manage cross-functional relationships in a fast-paced environment.

Competencies: Core to all positions at VaxCare

We Live (and Work) by Our Values:

• “VaxCare-ness” (Art of Care) – Nurturing and providing for each team member
• Belief in Something Bigger than Ourselves – Capacity to derive meaning from a larger purpose
• Humility as a Posture of Learning – Burning curiosity to learn without ego
• Adaptability & Embracing Change – Nimbleness & ready to seize new opportunities

Additional “Must Haves”:

• Dependability – Must be able to meet deadlines, work independently, maintain focus, be punctual and good attendance record.
• Interpersonal Skills – Builds strong relationships & contributes to a positive work environment.
• Computer Skills – Skilled with computers, learns new tools quickly.
• Ethics – Honest, accountable, maintains confidentiality.

OTHER ESSENTIAL REQUIREMENTS

• Remote Work Requirements:
  • Must be able to perform job duties independently with minimal supervision.
  • Must have private, distraction -free workspace suitable for confidential and focused work.
  • Must have reliable high-speed internet to support video conferencing an regular computer use.
• Prolonged sitting or standing: Employees must be able to remain in a stationary position for extended periods, as much of the work involves sitting at a computer or workstation. Some hybrid or office-based roles may also require the ability to stand for portions of a shift.
• Repetitive motions: Significant use of the hands, wrists, and fingers is required for tasks like typing, using a computer mouse, and handling paperwork.
• Visual acuity: The job requires the ability to view a computer screen and read documents for extended periods.
• Communication: Employees must be able to clearly express and exchange ideas in English to effectively communicate with customers and co-workers.
• Occasional lifting: Many office-based jobs specify the ability to occasionally lift or move up to 10–20 pounds to handle supplies or equipment.

Note: Team Members in this position will be responsible for implementing and acting in accordance with VaxCare’s information security policies; protecting assets from unauthorized access, disclosure, modification, destruction or interference; executing specific security processes or activities as assigned by the Information Security and/ or Privacy officers; and reporting security events or potential security risks to the organization. Team Members in this role will be involved in the processing of protected patient and/or payment information and will be responsible for ensuring the security and privacy of the information within their scope of work.