Director of Credentialing, Licensing & Payer Enrollment
Location
United States
Posted
10 days ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
The Director of Provider Credentialing, Licensing & Payer Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all provider credentialing, re-credentialing, payer enrollment, contracting coordination, and licensure activities across all AnswersNow business entities.
- This is a high-visibility leadership role critical to enabling timely provider onboarding, multi-state expansion, and revenue generation.
- The Director ensures that providers and groups are credentialed, contracted, and licensed accurately and on time so that services may be delivered, billed, and reimbursed without delay.
- This role leads the credentialing team, manages external vendors, partners cross-functionally with RCM, growth, operations, scheduling, and technology teams, and delivers clear, data-driven reporting to executive leadership.
Qualifications
- 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.
Requirements
- Experience supporting multi-state provider organizations or rapid geographic expansion.
- Experience with telehealth services as it relates to cross-state licensure/credentialing.
- Strong background in Medicaid credentialing and state-specific licensing requirements.
- Experience in delegated credentialing environments.
- Experience working in high-growth, technology-enabled healthcare organizations.
- High level of organization, attention to detail, and ability to manage competing priorities.
- Familiarity with workflow automation, system integrations, or custom internal platforms.
Benefits
- Full-Time (W2)
- 95k - 120k per year
- Fully remote – work from anywhere in the U.S.
- Flexible hours with an async-friendly team culture
Job 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.
- Experience supporting multi-state provider organizations or rapid geographic expansion.
- Experience with telehealth services as it relates to cross-state licensure/credentialing.
- Strong background in Medicaid credentialing and state-specific licensing requirements.
- Experience in delegated credentialing environments.
- Experience working in high-growth, technology-enabled healthcare organizations.
- High level of organization, attention to detail, and ability to manage competing priorities.
- Familiarity with workflow automation, system integrations, or custom internal platforms.
Benefits
- Full-Time (W2)
- 95k - 120k per year
- Fully remote – work from anywhere in the U.S.
- Flexible hours with an async-friendly team culture
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