American Family Care

Director

• Provide strategic leadership for all credentialing, recredentialing, privileging, and provider enrollment activities
• Build, lead, and mentor a high-performing credentialing team
• Develop and implement departmental goals, SOPs, KPIs, and quality assurance measures
• Oversee verification of licensure, education, training, certifications, work history, malpractice coverage, and professional references
• Ensure compliance with all federal, state, and local regulatory bodies
• Oversee timely and accurate submission of enrollment applications
• Manage external credentialing and verification vendors
• Continuously evaluate and enhance credentialing workflows

Director of Credentialing

Operations

• Manage coding workflows to ensure accuracy, compliance, and alignment with urgent care-specific guidelines
• Lead clinical documentation improvement (CDI) initiatives to enhance completeness, specificity, and payer compliance
• Partner with providers, center leadership, and vendors to improve documentation and coding outcomes
• Ensure adherence to coding SLAs for timely charge capture, claim submission, and reduced billing lag
• Develop and deliver coding and documentation education for providers, clinical staff, and BPO partners
• Collaborate with offshore coding vendors to monitor performance, improve quality, and optimize cost efficiency
• Establish and track KPIs, including coding accuracy, productivity, denial rates, and turnaround times
• Lead audit programs and implement corrective actions to maintain regulatory and compliance standards
• Drive continuous improvement initiatives across the revenue cycle in a high-volume urgent care setting

Coding Operations Manager

Account Manager

• Serve as the primary AdWorks point of contact for a portfolio of franchise owners, managing day-to-day communication, troubleshooting issues, and responding to ad hoc requests.
• Build and maintain strong, trust-based relationships across a diverse range of franchisee personalities.
• Lead Monthly and Quarterly Business Reviews (MBRs/QBRs), translating performance data into clear insights, trends, and actionable recommendations.
• Own performance reporting across assigned locations, ensuring outputs are accurate, timely, and insight-driven.
• Monitor performance to identify risks and growth opportunities, and drive data-backed optimization strategies.
• Partner with the AdOps agency to optimize campaigns and ensure quality and accuracy across platforms (Google Ads, Meta).
• Ensure seamless execution across franchisees, internal stakeholders, and agency partners.
• Partner cross-functionally to identify growth opportunities, optimize performance, and improve operational processes.
• Analyze performance across a diverse range of marketing channels including SEO, SEM, Direct Mail, Paid Social and Display.

Director of Credentialing

Coding Operations Manager

Account Manager, Local Performance Marketing