Credentialing Director

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $100k - $120k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 4%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Assembly Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

📋 Description

• Oversee the entire credentialing department, including Provider Enrollment Specialists and Credentialing Account Managers, ensuring clear roles, accountability, and performance standards • Set departmental goals and strategy, aligning credentialing operations with broader organizational growth objectives • Coach, mentor, and develop team members; manage performance, workload distribution, and career growth • Establish and monitor department-wide KPIs, including credentialing turnaround time, retention/turnover rate, network adequacy, Net Promoter Score, and error rates • Oversee provider enrollment, credentialing, and re-credentialing activities to ensure accuracy, timeliness, and payer compliance • Ensure tracking, reporting, and documentation of enrollment status, payer communications, and provider data across systems • Serve as escalation point for complex provider, payer, or claims-related issues • Maintain working knowledge of CAQH profiles, payer applications, and internal credentialing databases • Design, implement, and refine department-wide processes, SOPs, and quality controls • Analyze trends, bottlenecks, and performance metrics for strategic decision-making • Lead scaling efforts for the credentialing function as the organization expands nationally, including staffing plans and process infrastructure • Partner with the Credentialing Account Manager to support client-facing commitments and operational readiness • Liaise with Revenue Cycle, Operations, Compliance, and Clinical Leadership • Provide executive-level updates and reporting on department performance, risks, capacity planning, and strategic initiatives • Represent the credentialing department in cross-functional and leadership meetings

🎯 Requirements

• 7+ years of experience in provider relations, credentialing, enrollment, or healthcare operations, with progressive leadership responsibility • 4+ years of people management experience, including managing multiple direct reports and/or managers • Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows • Proven ability to build and lead teams, drive accountability, and implement scalable processes at a departmental level • Bachelor's degree required • Degree in healthcare administration, business, or process improvement preferred • Exceptional organizational, analytical, and reporting skills, with experience presenting to senior leadership • Strong communication skills with the ability to influence across levels and functions • Proficiency in Microsoft Office Suite and credentialing/enrollment databases • Ability to thrive in a fast-paced, high-growth environment with evolving priorities • Detail-oriented with strong problem-solving and decision-making capabilities

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) • Paid time off • Comprehensive benefits package • Opportunity to participate in company bonus programs for eligible employees