Senior Director of Credentialing Operations

Job Summary

The full-time Senior Director of Credentialing Operations will provide strategic leadership and operational execution for provider data management and credentialing, ensuring data accuracy and compliance while working remotely across the U.S.

Key responsibilities

• Lead the enterprise provider data management function, establishing governance frameworks and ensuring data accuracy across all systems
• Oversee end-to-end credentialing operations, ensuring compliance with regulatory requirements and monitoring performance metrics
• Collaborate with cross-functional teams to align provider data with contractual terms and support organizational growth initiatives

Required qualifications

• 10+ years of progressive healthcare experience within a health plan environment
• 7+ years of leadership experience in Provider Operations, Provider Data Management, or Credentialing Operations
• Bachelor's degree in Healthcare Administration, Business Administration, Health Informatics, or a related field
• Demonstrated experience managing provider data across multiple systems
• Knowledge of NCQA accreditation requirements and CMS regulations is preferred