Director, Credentialing and Enrollment

📋 Description

• Lead the credentialing and payer enrollment functions, establishing strategic objectives, policies
• Serve as the subject matter expert on provider credentialing, accreditation, payer enrollment
• Build, develop, and manage a high-performing team through hiring, onboarding, training, coaching
• Design and implement scalable process improvements that reduce turnaround times, eliminate
• Partner with Revenue Operations to investigate and resolve enrollment-related claim denials
• Manage the relationship with the external credentialing and enrollment vendor, serving as the

🎯 Requirements

• 7+ years of progressive experience in healthcare credentialing and/or payer enrollment, including
• Demonstrated ability to manage teams, develop scalable operational processes, and improve
• Strong knowledge of federal and state credentialing, enrollment, accreditation, and healthcare
• Hands-on experience with CAQH, NPPES, PECOS, and payer portals.
• Strong understanding of NCQA and The Joint Commission standards and their application to provider
• Excellent analytical, organizational, communication, and problem-solving skills, with the ability

🎁 Benefits

• Target compensation range of $140,000–$160,000, with actual compensation based on experience and
• Remote position based in the United States.
• Generous paid time off, including 12 vacation days, 12 wellness/sick days, 3 floating holidays, and
• Employer-paid medical and dental insurance, with affordable vision coverage.
• 401(k) plan with a 3% employer match.
• Wellness benefits designed to support mental and physical health.