Director of Contracting, Provider Enrollment

🕒 May 5

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HealthOp Solutions

WebsiteLinkedInAll Job Openings

1 - 10 employees

⚕️ Healthcare Insurance

🎯 Recruiter

Healthcare Insurance • Recruitment • Consulting

HealthOp Solutions is Arizona's premier healthcare consulting agency, specializing in direct-to-hire recruiting, patient acquisition, and mergers & acquisitions for healthcare organizations. Our dynamic team of seasoned medical professionals is dedicated to crafting the perfect medical teams and providing expert business insights to enhance healthcare excellence. We pride ourselves on understanding the unique needs of our partners, ensuring a perfect fit and client satisfaction.

📋 Description

• Oversee a portfolio of healthcare clients and ensure provider enrollment, payer contracting, credentialing, and related client deliverables are completed accurately, efficiently, and on time. • Manage approximately 10 clients at a time, keeping projects organized, timelines visible, and client communication clear. • Serve as the primary operational lead for client accounts, ensuring requests are prioritized appropriately, payer issues are escalated when needed, and the internal credentialing team has the direction and support needed to execute well. • Review work for accuracy, completeness, and compliance with payer, client, and internal process requirements. • Coordinate with payers, provider groups, client contacts, and internal team members to resolve enrollment or contracting delays. • Track billable time accurately and manage work in alignment with client service expectations. • Identify process gaps, workflow issues, and opportunities to improve efficiency, quality, and accountability.

🎯 Requirements

• Proven experience in healthcare provider enrollment, payer contracting, credentialing, or a closely related administrative healthcare function. • Experience managing multiple client accounts, projects, or complex operational workflows at the same time. • Prior project management experience with the ability to organize timelines, deliverables, stakeholders, and follow-up. • Experience overseeing, leading, or mentoring credentialing, enrollment, or administrative team members. • Strong understanding of payer enrollment processes, contracting workflows, provider documentation, and credentialing requirements. • Ability to work independently in a fully virtual environment with strong accountability and communication. • High level of professionalism, discretion, and accuracy when handling client and provider information. • Comfortable working in a billable-time environment and documenting time/work clearly. • Must be able to maintain a flexible full-time schedule under either a 4x10 or 5x8 structure. • Must be comfortable in a W2 role with no traditional benefits package currently offered.

🏖️ Benefits

• Unlimited PTO