Cardinal Health
Manager,NetworkIntegrity
“Manager, Network Integrity at Cardinal Health. Skills: credentialing strategy, network management, Medicaid growth strategy, stakeholder alignment. Oversee and direct credentialing, re-credentialing, and enrollment activities. Develop, implement, and refine credentialing strategy”
What You'll Achieve.
ensuring accuracy and timely completion of credentialing; alignment with company's growth objectives; audit-readiness and compliance; visibility of credentialing and network data; prevent claim denials; ensure revenue integrity; grow the company's Medicaid Fee-for-Service and Managed Care footprint; enter new networks; impact on organization's bottom line
Industry & Context.
analytical capabilities; synthesize complex operational metrics into actionable insights
What They're Looking For.
Must Have
5+ years of experience in credentialing, network management, or provider enrollment, Proven leadership experience, Proven ability to design, build, and execute a comprehensive strategic roadmap for credentialing operations and network footprint expansion, Analytical capabilities, Exceptional written, verbal, and presentation skills, Deep subject matter expertise in Medicaid policy and administrative guidelines, Proven success in spearheading network growth strategies, Comprehensive knowledge of federal and state healthcare compliance standards, accreditation guidelines and quality assurance related to provider credentialing and network integrity
Nice to Have
Managed these processes within the Durable Medical Equipment (DME), Home Medical Equipment (HME), or DMEPOS industry, Relevant experience in the payer space
What You'll Do.
Oversee and direct credentialing
and enrollment activities
and refine credentialing strategy
Maintain a robust quality assurance process
Optimize internal reporting mechanisms
Translate complex regulatory changes into actionable operational guidelines
Lead strategic planning and execution for Medicaid footprint growth
Identify new market opportunities and guide application/contracting
Assess financial and operational viability of new Medicaid markets
Troubleshoot front-end credentialing issues impacting billing
Lead cross-functional meetings for stakeholder alignment
How You'll Work.
Team & Collaboration
Ensuring alignment between credentialing, legal, and payer relations functions; Bridging Network Management and Revenue Cycle teams; Partner with leadership to assess viability; Serve as liaison between Network Management, Contracting, Revenue Cycle, and Market Access Sales; Collaborate with RCM leaders to troubleshoot issues; Lead cross-functional meetings to ensure stakeholder alignment
Communication Scope
written skills; verbal skills; presentation skills
Process & Methodology
strategic roadmap development, execution of strategic initiatives
Applying for this Manager, Network Integrity role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Cardinal Health?
Real rants from real employees. Read before you apply.