Director, Credentialing

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. Good working knowledge of guidelines and requirements of Licensure and Medicaid across several markets. Excellent communication skills with internal stakeholders at variable levels. Strong organizational skills.

Manage staff processing New Provider Onboarding, Credentialing, Licensing, and Enrollment. Develop and train on policies, procedures, workflows, and training documentation. Manage Delegated Credentialing arrangements and partnerships with health plans. Analyze and prepare reports on status and trends of submitted applications, licenses/enrollments, and expirables. Ensure department milestones, projects, deadlines, SLAs, and objectives are met. Manage Credentialing Committee including maintenance of Credentialing software and Provider Rosters.