Associate Director of Insurance Operations

Posted 21 days agoViewed
120000 - 150000 USD per year
United StatesFull-TimeHealthcare
Company:BetterHelp
Location:United States, PST
Languages:English
Seniority level:Director, 10+ years
Experience:10+ years
Skills:
LeadershipProject ManagementPeople ManagementCross-functional Team LeadershipOperations ManagementMentoringComplianceTeam managementStakeholder managementProcess improvement
Requirements:
Bachelor’s degree in Business Administration, Healthcare Administration, or related field (Master’s preferred) 10+ years of progressive experience in provider insurance credentialing At least 5 years in senior leadership roles within a large, multi-state healthcare organization Deep understanding of payer enrollment, credentialing standards, and regulatory requirements across commercial and government payers Proven success building and scaling credentialing teams and systems Strong data-driven mindset with experience implementing process improvements and automation Exceptional leadership, communication, and stakeholder management skills Experience in behavioral health or other high-volume outpatient settings Familiarity with credentialing software platforms and data integration systems
Responsibilities:
Lead and scale provider credentialing operations Oversee end-to-end provider credentialing, enrollment and recredentialing Optimize credentialing, enrollment and recredentialing activities across payer networks Build and support scalable systems, workflows, and technologies Ensure compliance with NCQA, CMS, and state regulatory requirements Develop and mentor a high-performing credentialing team Serve as the organizational escalation point with payers and credentialing verification organizations (CVOs)
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