Source Job

$140,000–$160,000/yr
US 2w PTO

  • Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
  • Manage vendor relationships and resolve enrollment-related revenue cycle issues.
  • Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.

Credentialing Payer Enrollment Leadership Compliance Vendor Management

20 jobs similar to Director, Credentialing and Enrollment

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US

  • Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
  • Own complex payer enrollment and credentialing programs end to end.
  • Build scalable workflows and use metrics to manage capacity and execution risk.

Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.

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  • Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
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We are a comprehensive women's health provider specializing in expert, longitudinal care for women. Trusted by over 60,000 women, we are one of the fastest-growing women's health platforms in the U.S.

US 4w PTO 14w maternity 12w paternity

  • Manage end-to-end credentialing and recredentialing processes for healthcare providers.
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Knownwell is a weight-inclusive healthcare provider offering obesity care, primary care, nutrition counseling, and health coaching. Backed by $50M in funding from investors like CVS Health Ventures and a16z, they are scaling fast to expand access to evidence-based obesity care nationwide.

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  • Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
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We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.

US Unlimited PTO

  • Manage end-to-end provider licensing, payer enrollment, and credentialing operations.
  • Build scalable internal processes and drive fast time-to-credentialing metrics.
  • Serve as the primary bridge between providers, health plans, billing, and client success teams.

Nadia Care reimagines maternity care for underserved communities, providing trust-based engagement and wrap-around support for expectant mothers. Our growing team of empathetic professionals collaborates to improve pregnancy, birth, and postpartum outcomes.

$110,000–$140,000/yr
United States

  • Own the end-to-end credentialing and multi-state licensing process, including policies and procedures.
  • Oversee provider onboarding and offboarding, driving license and credentialing applications to completion.
  • Manage delegated credentialing programs and health plan audits, ensuring compliance with state and federal regulations.

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Founded by healthcare pioneer Dr. Tom X. Lee, they are a team of leading innovators from healthcare, technology, and human-centered design.

US

  • Initiate and manage compliance onboarding for healthcare contractors, including credentialing verification.
  • Collaborate with staffing agencies and internal stakeholders to meet compliance deadlines.
  • Monitor credential expirations and maintain accurate records in the Vendor Management System.

Trio Workforce Solutions helps healthcare organizations manage workforce challenges through technology and services. The company is a mission-driven organization with a collaborative culture and growth opportunities nationwide.

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Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.

US

  • Lead and develop a credentialing team, overseeing provider credentialing, licensing, and privileging processes.
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Jobgether is an AI-powered recruitment platform that connects candidates with job opportunities through objective matching. It offers a fully remote, collaborative work environment with a focus on employee development and belonging.

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Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.

US

  • Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
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Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.

US

  • Manage provider credentialing, licensing, and payer enrollment activities from application through completion.
  • Research and resolve non-routine credentialing and provider data discrepancies, ensuring compliance.
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The company is a partner organization that manages hiring for healthcare credentialing roles. They operate remotely and foster a collaborative, deadline-driven culture focused on compliance and operational excellence.

US

  • Enroll practitioners in health plans accurately and timely, monitoring progress and ensuring completion.
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Pediatrix Medical Group is one of the nation's largest providers of prenatal, neonatal and pediatric services. With a focus on team approach, the company is home to a diverse group of business professionals dedicated to improving patient lives.

US

  • Support all aspects of credentialing and state licensing for the Medical Team, including Nurse Practitioners and Registered Nurses.
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Meds.com is a rapidly growing consumer technology firm operating healthcare businesses like BlueChew & MOD, aiming to better patients' lives through innovative solutions. With a team of 350 professionals, they've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology.

US

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Propelus simplifies workforce compliance management across healthcare. As a trusted leader for over 20 years, they deliver seamless compliance solutions to millions, leveraging market-leading technology to simplify complex operations.

US

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Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to review applications and share top-fitting candidates with employers, fostering an inclusive and efficient hiring process.

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