Director of Credentialing, Licensing & Payer Enrollment
AnswersNow
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $95,000 - $120,000 per year
Job Level
Lead
About the role
- Lead, coach, and develop the Credentialing & Licensing team
- Design and implement scalable credentialing and enrollment workflows
- Partner closely with Provider Onboarding and Growth teams to ensure all required documentation is collected promptly and credentialing is initiated without delay
- Oversee the review and validation of practitioner applications
- Own payer enrollment and credentialing activities and coordinate payer contracting submission
- Own credentialing systems, vendors, and tools including CAQH, NPPES, payer portals, and internal platforms
- Provide regular executive-level updates on credentialing performance, priorities, and operational risks
Requirements
- Bachelor’s degree or equivalent healthcare experience in credentialing, provider enrollment, or contracts administration
- 3–5+ years of progressive experience in provider credentialing, payer enrollment, or payor relations within an insurance company, hospital system, or large provider group
- Demonstrated experience leading teams and/or managing vendors
- Strong working knowledge of healthcare reimbursement, managed care contracting, and payer enrollment processes
- Proficiency with credentialing systems, payer portals, and reporting tools
Benefits
- Flexible hours with an async-friendly team culture
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
credentialingenrollment workflowspayer enrollmentmanaged care contractinghealthcare reimbursementvendor managementreporting tools
Soft skills
leadershipcoachingteam developmentcommunicationcollaboration
Certifications
Bachelor’s degree