[Hiring] Managed Care Credentialing Representative II @Brightli

Role Description

If you’re energized by helping healthcare providers succeed and enjoy being the guiding force behind smooth, compliant onboarding experiences, this role is for you. As a Managed Care Credentialing Representative II, you’ll play a critical role in supporting providers as they join and grow within our network—ensuring their journey from application to credentialing is seamless, accurate, and supportive.

You’ll join a compassionate, collaborative team committed to accuracy, trust, and improving access to quality care, while making a meaningful difference for both providers and the communities they serve.

In this role, you’ll:

• Partner closely with providers to navigate credentialing and enrollment processes.
• Manage and maintain detailed application files.
• Ensure all work aligns with regulatory standards.
• Leverage your attention to detail, organization, and customer-focused approach to support initial credentialing and timely recredentialing efforts.
• Maintain complete and compliant records throughout the process.

Qualifications

• High school diploma, GED, or equivalent required.
• Previous healthcare credentialing experience required.
• Experience in healthcare administration utilizing advanced Microsoft Office tools, including Excel, preferred.

Requirements

• Excellent customer service, communication (oral and written), and time management skills.
• Strong organizational skills with exceptional attention to detail.
• Analytical ability to research industry policies and translate findings into actionable steps.
• Ability to manage multiple projects concurrently while meeting varying deadlines.
• Current driver’s license, acceptable driving record, and current auto insurance required.
• Successful completion of required background screenings, including criminal history and abuse/neglect checks.

Benefits

• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost.
• Mileage Reimbursement – Company paid for work functions requiring travel.
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition.
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce.
• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life.
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more.
• Top-notch training: initial, ongoing, comprehensive, and supportive.
• Career mobility: advancement opportunities/promoting from within.
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as a human being, and encourages your health and happiness.

Company Description

Brightli is on a mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, and to have a larger voice in advocacy to increase access to mental health and substance use care in our communities. We prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission.

If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.