Top 25 Director Credentialing Jobs

Director of Credentialing
American Family Care —Birmingham, AL
- $115,000 - $130,000 a year
- Full-time
- Remote
- 3 years
- Analysis skills
- Organizational skills
Quick Apply
Director of Credentialing
Los Angeles Cancer Network —Glendale, CA
- $120,000 - $130,000 a year
- Full-time
- Customer service
- Master's degree
- Analysis skills
Quick Apply
Director of Credentialing and Enrollments (SLC)
Headlight —Salt Lake City, UT
- $100,000 - $120,000 a year
- Full-time
- Hybrid work
- 7 years
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
7d
Senior Director Credentialing & Contracting (Hybrid) - Faculty Practice Plan
Washington University in St Louis —St. Louis, MO
- $129,800 - $228,400 a year
- Online Application
- Word processing
- Writing skills
- Pass drug screening
- Commuter assistance
- Employee assistance program
Director of Credentialing & Payor Enrollment
CarePoint Health —Hoboken, NJ
- $130,000 - $175,000 a year
- Full-time
- Surgery
- Bachelor's degree
- Contracts
- Paid holidays
- Dental insurance
Director of Credentialing
USA Clinics Group —Northbrook, IL
- $90,000 - $115,000 a year
- Full-time
- 7 years
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Director of Credentialing and Payer Enrollment
WACO FAMILY MEDICINE —Waco, TX
- 8 hour shift
- Writing skills
- Analysis skills
- Driver's License
8d
Assistant Director for Faculty Qualifications and Planning
James Madison University —Harrisonburg, VA
- Full-time
- Microsoft Access
- Master's degree
- Analysis skills
Director, Medical Staff and Centralized Credentialing Office
Saint Francis Hospital, Inc. —Tulsa, OK
- Full-time
- Office
- Master's degree
- Driver's License
Quick Apply
6d
Compliance Director
SNFOut —Monsey, NY
- $125,000 - $150,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Team management
Quick Apply
13d
Director of Operational Support
BlueSprig —Orlando, FL
- Remote
- 5 years
- Master's degree
- Bachelor's degree
Quick Apply
Director of Psychological Services
NYC Health + Hospitals —New York, NY
- $160,000 - $175,000 a year
- Online Application
- 6 years
- Hospital
- Doctor of Philosophy
- Commuter assistance
- Paid holidays
Assistant Director, Open Enrollment
Case Western Reserve University —Cleveland, OH
- From $23.68 an hour
- Weekends as needed
- Hybrid work
- Computer literacy
- Office
- 3 years
- Health insurance
- Tuition reimbursement
Director Medical Staff Services
Ann & Robert H. Lurie Children’s Hospital of Chicago —Streeterville, IL
- $110,240 - $181,896 a year
- Full-time
- Bachelor's degree
- Experience equivalent to degree accepted
- Business Administration
- 403(b) matching
- Paid parental leave
Director Medical Staff Services DFW West
Baylor Scott & White Health —Grapevine, TX
- Hospital
- 3 years
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Dir- Credentials Verification
Northern Light Health —Brewer, ME
- Full-time
- Writing skills
- Public speaking
- System design
Director, Trauma Program
Roper St. Francis Healthcare —Charleston, SC
- Acute care
- Nursing
- Surgery
- Health savings account
- Disability insurance
1d
Director of Central Verification Office (CVO) Medical Group Credentialing
UT Southwestern —Texas
- Full-time
- 3 years
- Analysis skills
- Bachelor's degree
2d
Medical Staff Office Director & Designated Institutional Official for GME
Marion Health —Marion, IN
- Extended hours
- Customer service
- Writing skills
- Office
Director of Nursing - Critical Care and Emergency Services
Mercy Health —Paducah, KY
- Nursing
- RN License
- PALS Certification
- Health savings account
- Disability insurance

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Director of Credentialing

American Family Care -
Birmingham, AL

Quick Apply

Job Details

Full-time
$115,000 - $130,000 a year

Qualifications

3 years
Analysis skills
Organizational skills
Senior level
Leadership
Communication skills

Full Job Description

The Director of Credentialing is responsible for leading, managing, and enhancing the organization’s credentialing, privileging, provider enrollment, and payer enrollment operations across all clinics and care delivery sites. This role ensures full compliance with regulatory, accreditation, and payer requirements while driving operational excellence, process innovation, and a positive provider experience.

The Director oversees credentialing staff, manages key external vendor relationships, maintains exceptional standards of accuracy and timeliness, and serves as the organization’s primary expert on credentialing policies, workflows, and industry standards.

Key Responsibilities

Leadership and Management

Provide strategic leadership for all credentialing, recredentialing, privileging, and provider enrollment activities.
Build, lead, and mentor a high-performing credentialing team with appropriate staffing, training, accountability, and performance management.
Develop and implement departmental goals, SOPs, KPIs, and quality assurance measures.

Credentialing and Privileging Operations

Oversee verification of licensure, education, training, certifications, work history, malpractice coverage, and professional references.
Establish proactive workflows for managing all expirable items, including license, certification, and insurance renewals.
Ensure accurate management of provider files, credentialing data, and documentation within credentialing software platforms.
Direct the privileging process in collaboration with medical leadership, department chiefs, and compliance teams.

Regulatory Compliance

Ensure compliance with all federal, state, and local regulatory bodies including CMS, The Joint Commission, NCQA, URAC, and commercial payer standards.
Maintain up-to-date knowledge of regulatory changes and lead revisions to policies, procedures, and workflows accordingly.

Provider Enrollment

Oversee timely and accurate submission of enrollment applications with Medicare, Medicaid, and commercial payers.
Track and manage enrollments, revalidations, payer updates, and expirables to prevent reimbursement delays or claim denials.

Vendor Relationship Management

Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence.
Evaluate vendor capabilities, negotiate service agreements, monitor KPIs, and drive accountability for accuracy and turnaround times.

Process Improvement and Technology

Continuously evaluate and enhance credentialing workflows to reduce turnaround times, improve accuracy, and support scalability.
Lead implementation or optimization of credentialing software, automation tools, and data-management technologies.
Develop and oversee dashboard reporting for KPIs, productivity, turnaround time, expirables, enrollment status, and quality metrics.

Relationship and Communication Management

Serve as the primary organizational contact for providers, clinical leaders, health plans, and regulatory bodies regarding credentialing matters.
Promote a provider-centric experience through timely communication, streamlined processes, and exceptional service standards.
Collaborate with HR, Legal, Compliance, Managed Care, and Clinical Operations on onboarding and cross-functional initiatives.
Deliver clear, concise presentations to executive leadership, including reporting on credentialing performance, risks, and mitigation strategies.

Qualifications

Required

Bachelor’s degree in healthcare administration, business, or related field.
7 or more years of credentialing experience in a healthcare organization, MSO, medical group, ASC, or hospital.
3 or more years of leadership or management experience.
Strong working knowledge of CMS, Joint Commission, NCQA, URAC, and payer credentialing and enrollment requirements.
Proficiency with credentialing software systems, provider databases, and digital document management.
Experience in multi-site or multi-state healthcare delivery organizations, or MSOs.

Preferred

Master’s degree in healthcare administration, business administration, or related field.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).
Proficiency with CredentialStream/Verity preferred.

Key Competencies

Exceptional attention to detail and commitment to data accuracy
Strong analytical, organizational, and project management abilities
Excellent written, verbal, and presentation development skills
Ability to lead teams through change and build scalable credentialing infrastructure
High integrity, discretion, and commitment to confidentiality
Ability to work cross-functionally and influence without formal authority
Strong relationship management and customer service orientation

Quick Apply

Refine Your Search

Director Credentialing jobs

Director of Credentialing

Director of Credentialing

Director of Credentialing and Enrollments (SLC)

Senior Director Credentialing & Contracting (Hybrid) - Faculty Practice Plan

Director of Credentialing & Payor Enrollment

Director of Credentialing

Director of Credentialing and Payer Enrollment

Assistant Director for Faculty Qualifications and Planning

Director, Medical Staff and Centralized Credentialing Office

Compliance Director

Director of Operational Support

Director of Psychological Services

Assistant Director, Open Enrollment

Director Medical Staff Services

Director Medical Staff Services DFW West

Dir- Credentials Verification

Director, Trauma Program

Director of Central Verification Office (CVO) Medical Group Credentialing

Medical Staff Office Director & Designated Institutional Official for GME

Director of Nursing - Critical Care and Emergency Services

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