About the role
As a Credentialing Account Manager, you will be responsible for managing client relationships and overseeing the end-to-end provider credentialing and payer enrollment process. You will serve as the primary point of contact for assigned accounts, ensuring timely enrollments, regulatory compliance, accurate provider data management, and an exceptional client experience.
In this role, you will:
Serve as the primary point of contact for assigned clients regarding credentialing and payer enrollment activities.
Manage the end-to-end provider enrollment lifecycle, including initial enrollments, revalidations, demographic updates, maintenance requests, and payer terminations.
Coordinate with commercial and government payers to facilitate timely provider enrollment and resolve enrollment-related issues.
Maintain accurate provider records, supporting documentation, databases, and case notes.
Monitor account performance and provide regular status updates, reporting, and communication to clients and internal stakeholders.
Investigate and resolve enrollment issues, escalations, and payer-related challenges to ensure successful outcomes.
Ensure compliance with payer requirements, regulatory standards, and company policies.
Participate in process improvement initiatives and support operational excellence across credentialing and enrollment functions.
Work Model
Remote
At Cognizant, we strive to provide flexibility wherever possible and support a healthy work-life balance through our wellbeing programs.
This position is fully remote, allowing you to work from your home office while collaborating with clients, providers, payers, and internal teams in a virtual environment.
The working arrangements for this role are accurate as of the date of posting and may be subject to change based on business or client needs.
What you need to have to be considered
1+ year of healthcare credentialing, provider enrollment, or payer enrollment experience.
Strong understanding of provider credentialing and payer enrollment processes.
Experience working with commercial and government health plans.
Knowledge of provider lifecycle management, enrollment maintenance, and revalidation requirements.
Experience utilizing credentialing and enrollment platforms such as CAQH, PECOS, NPPES, Medicaid portals, Availity, and payer-specific systems.
Excellent client relationship management, communication, and interpersonal skills.
Strong organizational skills with the ability to manage multiple accounts, priorities, and deadlines.
High attention to detail and strong problem-solving capabilities.
These will help you stand out
Experience supporting large healthcare organizations, medical groups, or healthcare services providers.
Knowledge of Medicare, Medicaid, and commercial payer enrollment requirements.
Experience analyzing enrollment metrics and productivity reports.
Familiarity with healthcare regulations and compliance standards related to provider enrollment.
Experience working in a fast-paced, client-facing healthcare operations environment.
Demonstrated ability to identify process improvement opportunities and implement operational efficiencies.
Salary and Other Compensation:
Applications will be accepted until October 25, 2026.
The annual salary for this position is between $63,000-$71,000 depending on experience and other
qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and
subject to the terms of Cognizant’s applicable plans.
We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
Over Cognizant
Cognizant (NASDAQ: CTSH) is een bouwer van AI-oplossingen en een leverancier van technologiediensten. Wij slaan de brug tussen AI-investeringen en ondernemingswaarde door het bouwen van full-stack AI-oplossingen voor onze klanten. Onze diepgaande kennis van sectoren, processen en engineering stelt ons in staat om de unieke context van een organisatie te verankeren in technologische systemen. Deze systemen versterken het menselijk potentieel, realiseren tastbare resultaten en geven wereldwijde ondernemingen een voorsprong in een snel veranderende wereld. Ontdek hoe op cognizant.ai of @cognizant.
Aanvullende arbeidsinformatie
De informatie over de beloning is correct op de datum van deze vacature. Cognizant behoudt zich het recht voor om deze informatie op elk moment te wijzigen, met inachtneming van de toepasselijke wetgeving.
Van sollicitanten kan worden verwacht dat zij gesprekken bijwonen, persoonlijk of via een videogesprek. Daarnaast kan van kandidaten worden gevraagd om tijdens elk gesprek een geldig, door de overheid uitgegeven identiteitsbewijs (zoals een identiteitskaart of paspoort) te tonen.
Cognizant is een werkgever die gelijke kansen biedt. Je sollicitatie en kandidatuur worden niet beoordeeld op basis van ras, huidskleur, geslacht, religie, levensovertuiging, seksuele geaardheid, genderidentiteit, nationale afkomst, handicap, genetische informatie, zwangerschap, veteranenstatus of enige andere eigenschap die wordt beschermd door federale, regionale of lokale wetgeving.
