Director of Credentialing

American Family Care

Director of Credentialing responsible for managing credentialing and provider enrollment operations in healthcare. Ensures compliance while driving operational excellence in a fully remote setting.

Posted 5/27/2026full-timeRemote • 🇺🇸 United StatesLead💰 $115,000 - $130,000 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Bachelor’s degree in healthcare administration, business, or related field
7 or more years of credentialing experience in a healthcare organization, MSO, medical group, ASC, or hospital
3 or more years of leadership or management experience
Strong working knowledge of CMS, Joint Commission, NCQA, URAC, and payer credentialing and enrollment requirements
Proficiency with credentialing software systems, provider databases, and digital document management
Experience in multi-site or multi-state healthcare delivery organizations, or MSOs
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred
Proficiency with CredentialStream/Verity preferred
Experience implementing credentialing software or leading large-scale credentialing process redesign
Exceptional attention to detail and commitment to data accuracy
Strong analytical, organizational, and project management abilities
Excellent written, verbal, and presentation development skills
Ability to lead teams through change and build scalable credentialing infrastructure
High integrity, discretion, and commitment to confidentiality
Ability to work cross-functionally and influence without formal authority
Strong relationship management and customer service orientation

Benefits

Comp & perks

Comprehensive benefits package including medical, dental, vision, disability, life insurance
Matching 401(k)
Flexible work arrangements
Professional development opportunities
Paid time off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

credentialingrecredentialingprivilegingprovider enrollmentquality assurancedata accuracyproject managementcredentialing process redesignanalytical skillsorganizational skills

Soft Skills

leadershipmentoringattention to detailcommunication skillsrelationship managementcustomer service orientationinfluence without authoritycommitment to confidentialityability to work cross-functionallychange management

Certifications

Certified Provider Credentialing Specialist (CPCS)Certified Professional Medical Services Management (CPMSM)