Director of Credentialing - Business Process Management

Director of Credentialing & Enrollment Services

Department: Credentialing & Enrollment Operations Reports To: Vice President of Operations / Chief Operating Officer FLSA Status: Exempt Location: Remote / Hybrid Business Travel: Required - 0-50% depending on the month

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Position Summary

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. This role is responsible for building scalable processes, maintaining regulatory compliance, driving client satisfaction, and leading a high-performing team that delivers timely, accurate credentialing and enrollment services on behalf of hospitals, physician groups, health systems, and other healthcare organizations.

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Essential Duties & Responsibilities

Strategic Leadership & Client Management

· Develop and execute the strategic vision for credentialing and enrollment service delivery, aligning operations with company growth targets and client expectations.

· Serve as the senior point of escalation for client concerns related to credentialing and enrollment timelines, quality, and outcomes.

· Lead client onboarding, including discovery of payer mix, provider roster assessment, and development of customized enrollment strategies.

· Build and maintain strong relationships with key client stakeholders, including practice managers, revenue cycle leaders, medical staff offices, and C-suite executives.

· Identify opportunities to expand service offerings and drive revenue growth within existing and prospective client accounts.

Credentialing Operations

· Oversee the end-to-end credentialing lifecycle, including initial credentialing, re-credentialing, and privileging support for all provider types (MDs, DOs, NPs, PAs, CRNAs, psychologists, therapists, etc.).

· Ensure compliance with NC