Credentialing Operations Manager (Dental)

About this role

Please Note: This position is full-time, open to remote work with travel as needed to our NY headquarters locations.

### OUR POSITION:

Premier Care Dental Management is a growing dental practice management company that supports multi-state dental offices providing general dentistry and specialty services to children and adults. The Credentialing Operations Manager will report to the Vice President of Payor Relations and oversees credentialing, delegated credentialing, provider enrollment, payer participation, and scalable processes that support continued growth.

This role partners with the Vice President of Payor Relations to expand delegated credentialing programs and infrastructure, while working with Revenue Cycle, Human Resources, Operations, and other teams to support provider readiness. This role is ideal for an experienced dental credentialing professional who thrives in a fast-paced environment, solves operational challenges, and builds efficient, scalable processes.

### PRIMARY RESPONSIBILITIES:

• Lead, coach, and develop a team of credentialing and provider enrollment specialists.
• Oversee initial credentialing, recredentialing, provider enrollment, revalidation, and demographic maintenance for providers and locations.
• Partner closely with the Vice President of Payor Relations to help build and expand Dental365's delegated credentialing program, operational infrastructure, and broader strategic initiatives.
• Develop, document, implement, and continuously improve credentialing workflows, standard operating procedures, and operational best practices.
• Monitor key performance indicators, identify operational bottlenecks, recurring payer issues, and opportunities for automation and process improvement.
• Perform routine quality audits of credentialing files, enrollment records, delegated credentialing documentation, and operational processes to ensure ongoing compliance and audit readiness.
• Lead the operational implementation and ongoin...