ABA Credentialing Director

Job Summary

Leading credentialing and provider enrollment efforts, the full-time ABA Credentialing Director will oversee operations across multiple states, ensure compliance with regulatory standards, and drive quality improvement initiatives in a remote work environment.

Key Responsibilities

• Oversee provider credentialing and recredentialing operations across four companies in 10 states
• Ensure compliance with federal, state, and payer requirements while conducting internal audits
• Lead contracting initiatives and maintain relationships with payers and regulatory agencies

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field; Master's degree preferred
• Minimum of 7 years of experience in provider credentialing, healthcare compliance, or payer contracting
• Proficiency with credentialing and provider enrollment platforms, including CAQH and CMS systems
• Demonstrated experience with multi-state provider credentialing and payer enrollment operations
• Strong knowledge of Medicaid, Medicare, and commercial payer credentialing requirements