Director, Existing Credentialing

The Director, New Provider Credentialing will be responsible for overseeing and managing the end-to-end credentialing process for all new healthcare providers joining Theoria Medical. This role will ensure compliance with regulatory standards, payer requirements, and internal timelines while building scalable systems for credentialing in a fast-growth environment. Responsibilities include leading the full-cycle credentialing process for all new providers, managing a credentialing team, ensuring compliance with regulations, collaborating cross-functionally, developing policies and procedures, tracking KPIs, staying up to date on industry standards, supporting audits, and partnering with IT and Operations teams. The role requires a bachelor’s degree, 5-7 years of experience in healthcare credentialing, strong knowledge of regulations, experience with credentialing software, and excellent communication skills.