• Partner with cross functional leaders to ensure internal processes and care delivery are in accordance with health plan needs across commercial and Medicaid lines of business. • Translate health plan contracts, provider manuals, and regulatory requirements into scalable operational workflows. • Serve as the internal subject-matter expert on credentialing and payor operational requirements. • Oversee the Credentialing team to ensure providers are enrolled, credentialed, and re-credentialed across all contracted payors, including Medicaid, in a timely and compliant manner. • Partner cross-functionally with various teams including Care Delivery, Care Operations, Payor Partnerships, Revenue Cycle, and Legal to ensure operational readiness and alignment with existing payor contract obligations, current and new regulatory requirements, and new payor implementations and market expansion. • Provide operational insight and data to support payor performance discussions and contract optimization. • Establish KPIs and develop reporting mechanisms to track performance for credentialing and overall payor operations. • Identify operational risks and process inefficiencies and lead remediation efforts as needed. • Support payor audits, payor reviews, and regulatory or compliance inquiries as needed. • Perform other duties as assigned.