Welcome page Returning Candidate? Log back in! Credentialing Manager - Infusion Pharmacy Job Locations US-CO-ENGLEWOOD ID 2026-184437 Line of Business Amerita Position Type Full-Time Pay Min USD $85,000.00/Yr. Pay Max USD $120,000.00/Yr. Our Company
Amerita
Overview
The Credentialing Manager leads and oversees enterprise-wide credentialing and recredentialing operations for pharmacies, ambulatory infusion suites, and nurse practitioner services across multiple states. This role ensures full compliance with federal, state, accreditation, and payor-specific credentialing requirements in a highly regulated healthcare environment, while supporting organizational growth and operational excellence
Schedule:
Monday - Friday, 8:30am-5pm - Remote
We Offer
• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays
Responsibilities Manages day-to-day credentialing workflows for providers and facilities, including onboarding, recredentialing, and change managementSupervises, mentors, and develops credentialing specialists to ensure accuracy, timeliness, and consistency across all marketsServes as the subject matter expert on credentialing standards related to home infusion therapy, specialty pharmacy, and ambulatory servicesMaintains compliance with CMS, state Medicaid agencies, commercial payors, and accreditation bodies (e.g., ACHC, URAC, The Joint Commission, NABP)Partners with contracting, revenue cycle, compliance, legal, and clinical leadership to support new business, acquisitions, and market expansionOversees credentialing for multi-state licensure, DEA registrations, NPI enrollment, and specialty pharmacy-specific requirementsMonitors credentialing metrics, turnaround times, and payor performance; identify risks and implement process improvementsLeads audits, corrective action plans, and payor inquiries related to credentialing and enrollmentEnsures credentialing data integrity within credentialing systems, payor portals, and internal provider databasesDevelops, maintains, and updates credentialing policies, procedures, and internal controlsScales credentialing operations to support acquisitions, de novos, and rapid geographic expansionStandardizes credentialing practices across regions while adapting to state-specific regulatory nuancesDrives automation, technology adoption, and workflow efficiencies to reduce cycle time, administrative burden, and revenue leakageProvides executive-level reporting on credentialing status, risks, capacity constraints, and operational readinessActs as a strategic advisor on credentialing implications for new service lines, care models, and clinical programsSupervisory Responsibility: Yes Qualifications Bachelor’s Degree in healthcare administration, business, or a related fieldMinimum of five (5) years health care experienceExtensive experience in healthcare credentialing, enrollment, or provider operations (home infusion, specialty pharmacy, or multi-state healthcare preferred).Proven leadership experience managing credentialing teams in a complex, payor-driven environment.Deep understanding of Medicare, Medicaid, and commercial payor credentialing and enrollment requirements.Strong analytical, organizational, and cross-functional communication skills.Demonstrated ability to lead in a fast-paced, highly regulated healthcare settingPercentage of Travel: 0-25%
**To perform this role will require frequently sitting, standing, walking, and typing on a keyboard with fingers, and occasionally bending, reaching and climbing (stairs/ladders). The physical requirements will be the ability to push/pull 1-10 lbs and lift/carry 21-30 lbs**
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Salary Range USD $85,000.00 - $120,000.00 / Year