ABA Credentialing Director

Job Summary

Seeking an experienced and strategic Director of Credentialing, the full-time role will manage credentialing, enrollment, contracting, compliance, and accreditation activities across a multi-state organization, ensuring adherence to all regulatory requirements while fostering operational excellence in a flexible remote work environment.

Key Responsibilities

• Oversee provider credentialing and recredentialing operations across multiple states, ensuring compliance with federal and state regulations
• Lead contracting and enrollment initiatives with Medicaid and commercial payers, building strong relationships with stakeholders
• Develop and implement policies, procedures, and performance metrics for credentialing and compliance functions

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
• Demonstrated experience with multi-state provider credentialing and payer enrollment operations
• Proficiency with credentialing platforms and Microsoft Office Suite, particularly advanced Excel
• Strong knowledge of Medicaid, Medicare, and commercial payer credentialing requirements