Director of Credentialing

Position Summary

The Director of Credentialing provides strategic oversight of provider credentialing, payer enrollment, compliance, and onboarding operations. This role leads department performance, process standardization, AI-driven efficiencies, and initiatives that support organizational growth and scalability.

• Location:
  
  Northbrook, IL
• Schedule:
  
  Full-time, Monday through Friday on-site
• Compensation: $90,000 - $115,000

• Oversee all provider credentialing, payer enrollment, recredentialing, and compliance activities across the organization.
• Develop and monitor credentialing KPIs, provider onboarding timelines, enrollment aging reports, and department performance metrics.
• Lead initiatives to improve provider onboarding speed, enrollment accuracy, and regulatory compliance.
• Establish standardized credentialing processes, SOPs, and quality assurance measures across all markets.
• Partner with operations, recruiting, compliance, and clinical leadership to support provider onboarding and expansion initiatives.
• Lead credentialing system improvements, vendor management, and department optimization projects.
• Serve as the strategic operational leader responsible for credentialing efficiency, scalability, and compliance.

• Implement AI-powered provider onboarding workflows to reduce credentialing turnaround times.
• Develop automated license, certification, and recredentialing tracking systems.
• Utilize AI to analyze enrollment bottlenecks and identify process improvement opportunities.
• Lead adoption of automation tools that streamline payer enrollment, document management, and compliance reporting.

• Bachelor's degree in Healthcare Administration, Business Administration, or related field required.
• Minimum 7 years of credentialing and payer enrollment experience, with at least 3 years in a leadership role.
• Extensive knowledge of provider credentialing, payer enrollment, CAQH, recredentialing, and regulatory compliance requirements.
• Experience managing multi-state provider credentialing operations and onboarding programs.
• Proven success leading department improvements, workflow standardization, and operational scalability initiatives.

• Health
• Dental
• Vision
• 401k & Match
• Paid time off