Credentialing Account Manager, Earth City, Missouri, United States

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.

Sobre a Cognizant
Cognizant (NASDAQ: CTSH) é uma construtora de IA e fornecedora de serviços de tecnologia, criando a ponte entre o investimento em IA e o valor para as empresas por meio do desenvolvimento de soluções de IA completas para nossos clientes. Nossa profunda experiência em setores, processos e engenharia nos permite incorporar o contexto único de cada organização em sistemas tecnológicos que potencializam a capacidade humana, geram resultados tangíveis e mantêm empresas globais à frente em um mundo em rápida transformação. Saiba mais em cognizant.ai ou @cognizant.

A Cognizant é uma empregadora que investe em equidade. Sua candidatura não será pautada em raça, cor, gênero, sexualidade, credo, origem, deficiência, gravidez ou qualquer outra característica protegida pelas leis brasileiras.

Informações adicionais de emprego
Os candidatos podem ser obrigados a comparecer a entrevistas presenciais ou por videoconferência. Além disso, os candidatos podem ser obrigados a apresentar seu documento de identificação emitido pelo estado ou governo atual durante cada entrevista.

Embora nosso sistema permita a candidatura em todos os idiomas, o(s) idioma(s) e o(s) nível(is) de proficiência exigidos para o trabalho variam. No entanto, é necessário um nível básico de inglês para fins de comunicação em toda a empresa.

Se você tem uma deficiência que requer adaptações razoáveis para procurar uma vaga de emprego ou enviar uma candidatura, envie um e-mail para [email protected] com sua solicitação e informações de contato.