Director of Credentialing, Licensing & Payer Enrollment

Posted 14 days agoViewed
95000 - 120000 USD per year
United StatesFull-TimeHealthcare
Company:AnswersNow Inc
Location:United States
Languages:English
Seniority level:Director, 3-5+ years
Experience:3-5+ years
Skills:
LeadershipProject ManagementPeople ManagementHR ManagementCross-functional Team LeadershipOperations ManagementStrategyBusiness OperationsDocumentationAnalytical SkillsProblem SolvingMentoringAttention to detailOrganizational skillsComplianceTeam managementStakeholder managementCoachingCritical thinkingReportingData entryRelationship managementRisk ManagementProcess improvementResearch skills
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 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
Responsibilities:
Lead, coach, and develop the Credentialing & Licensing team Design and implement scalable credentialing and enrollment workflows Partner with Provider Onboarding and Growth teams 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 Provide regular executive-level updates on credentialing performance
About the Company
AnswersNow Inc
View Company Profile
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