Director of Credentialing

Job Summary

A company is looking for a Director of Credentialing and Enrollment.

Key Responsibilities

• Oversee the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks
• Lead and scale a credentialing team to support onboarding volume and geographic expansion
• Develop and maintain credentialing policies and procedures aligned with regulatory guidelines

Required Qualifications

• Bachelor's degree required; CPCS, CPMSM, or equivalent credentialing certification preferred
• 7+ years of experience in healthcare credentialing, with at least 3 years in a leadership role
• Strong knowledge of behavioral health credentialing and payer enrollment processes
• Experience with delegated credentialing relationships and managing audits
• Familiarity with credentialing platforms such as Modio or MD-Staff