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Associate Director, Payer Enrollment; Georgia, NCQA

Remote / Online - Candidates ideally in
Coos Bay, Coos County, Oregon, 97458, USA
Listing for: Privia Health
Remote/Work from Home position
Listed on 2026-03-05
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
Position: Associate Director, Payer Enrollment (Georgia, NCQA)

Overview

Employer Industry: Healthcare Technology

Why consider this job opportunity:

  • Salary up to $
  • Eligible for an annual bonus targeted at 15% and restricted stock units
  • Comprehensive benefits package including medical, dental, vision, life, pet insurance, 401K, and paid time off
  • Opportunity for career advancement and growth within a collaborative environment
  • Work remotely with minimum internet speed requirements
  • Chance to lead a dedicated team and make a significant impact on provider enrollment processes
Responsibilities
  • Provide strategic oversight and operational leadership for provider enrollment processes
  • Ensure compliance with health plan requirements related to provider certification and credentialing
  • Streamline workflows and processes for the onboarding department using automation
  • Collaborate with stakeholders to resolve complex provider enrollment issues and claim denials
  • Mentor and train new and existing staff while maintaining up-to-date credentialing databases
Qualifications
  • 7+ years of experience in managed care credentialing, billing, or medical staff service settings
  • Experience leading enrollment teams with a large provider inventory
  • Strong knowledge of NCQA guidelines and delegated payers preferred
  • Intermediate to advanced Microsoft Excel skills
  • Experience supporting Medicare/Medicaid required
Preferred Qualifications
  • Georgia payer/provider knowledge
  • Experience using Verity Credential Stream
  • Athena EMR experience

#Healthcare Technology #Provider Enrollment #Career Opportunity #Competitive Pay #Remote Work

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Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

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Position Requirements
10+ Years work experience
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