Director, Credentialing
Imagine Pediatrics
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $130,000 - $160,000 per year
Job Level
Lead
About the role
- Manage staff that process New Provider Onboarding, Credentialing, Licensing, and Enrollment for multi-specialty providers (MD/DO, NP, PA, RN, RD, RPh, LCSW, LMFT, etc.).
- Develop and train on policies and procedures, workflows, and training documentation for the team to support successful day-to-day operations.
- Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.
- Analyze and prepare reports on status and trends in submitted applications, existing Licenses/Enrollments, and expirables for cross-functional leaders.
- Ensure department milestones, projects, deadlines, SLAs and objectives are met; manage team performance against SLAs actively.
- Manage Credentialing Committee including maintenance of Credentialing software and Provider Rosters to comply with Delegation requirements.
Requirements
- At least seven years' experience preferred as a Credentialing, Licensing, and/or Enrollment Specialist.
- At least five years’ experience preferred as a people manager of at least five team members.
- Previous experience managing functions in Verifiable and Athena.
- Have good working knowledge of guidelines and requirements of Licensure and Medicaid across several markets.
- Excellent communication skills with internal stakeholders at variable levels (including Executive Leadership).
- Strong organizational skills.
Benefits
- Competitive medical, dental, and vision insurance
- Healthcare and Dependent Care FSA; Company-funded HSA
- 401(k) with 4% match, vested 100% from day one
- Employer-paid short and long-term disability
- Life insurance at 1x annual salary
- 20 days PTO + 10 Company Holidays & 2 Floating Holidays
- Paid new parent leave
- Additional benefits to be detailed in offer
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CredentialingLicensingEnrollmentDelegated CredentialingPolicy DevelopmentWorkflow ManagementReport AnalysisTeam Performance ManagementAudit Management
Soft skills
CommunicationOrganizational SkillsLeadership