Job Details

A company is looking for a Director of Credentialing and Enrollment.Key ResponsibilitiesDefine and execute the strategic roadmap for credentialing and enrollment, transitioning to a tech-enabled operationLead and mentor the Credentialing & Enrollment team, fostering a culture of detail-orientation and accountabilityOversee the enrollment process for Medicare, Medicaid, and Commercial payers, ensuring compliance with licensing and credentialing requirementsRequired Qualifications7+ years in healthcare operations with 3+ years in a leadership role focused on Credentialing and Payer EnrollmentExperience managing multi-state licensure and enrollment for a distributed provider networkDeep knowledge of NCQA standards and CMS regulationsIntermediate to advanced skills in Excel/Google Sheets and experience with credentialing softwareBachelor's degree required; CPCS or CPMSM certification is a plus