Director - Credentialing & Enrollment Services

The Director of Credentialing & Enrollment Services provides strategic and operational leadership over all provider credentialing, re-credentialing, and payer enrollment functions for a diverse portfolio of healthcare clients.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• 5–7+ years of progressive experience in provider credentialing and payer enrollment, including management-level responsibility.
• Demonstrated experience managing credentialing/enrollment operations in a vendor, outsourcing, or multi-client environment.
• Deep working knowledge of NCQA credentialing standards, CMS enrollment regulations, and CAQH/PECOS/NPPES systems.
• Proven ability to manage and develop teams of 10+ credentialing and enrollment professionals.
• Strong understanding of the provider revenue cycle and the downstream impact of credentialing and enrollment delays.
• Proficiency with credentialing software platforms and Microsoft Office Suite.