Director of Credentialing

Job Summary

Leading credentialing operations remotely, the full-time Director of Credentialing will manage the onboarding of clinicians, ensure compliance with payer and regulatory requirements, and scale systems to support company growth.

Key responsibilities

• Oversee the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks
• Lead and mentor a credentialing team to support onboarding volume and geographic expansion
• Develop and maintain credentialing policies and procedures aligned with NCQA, CMS, and state-specific 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