Associate Director of Credentialing

Job Summary

A company is looking for an Associate Director of Credentialing to lead and oversee credentialing and health plan enrollment operations.

Key Responsibilities

• Lead and manage credentialing and enrollment teams, ensuring compliance with organizational standards
• Oversee credentialing processes, audits, and provider enrollment with health plans
• Identify and implement process improvements to enhance efficiency and provider satisfaction

Required Qualifications

• 7+ years of experience in healthcare credentialing and/or provider enrollment, with 3+ years in a leadership role
• Solid knowledge of NCQA, CMS, and state-specific credentialing and enrollment requirements
• Proven experience managing multi-regional or multi-site teams
• Proficiency in credentialing and enrollment software and Microsoft Office Suite