Director of Credentialing and Enrollments (remote)
Tasks
- Build and maintain credentialing data systems and dashboards
- Develop and maintain credentialing policies
- Lead mentor and scale credentialing team
- Manage payer enrollment and delegated credentialing
- Monitor regulatory changes for compliance
- Oversee credentialing and recredentialing process
- Represent credentialing function in cross functional meetings
- Support payer audits
Perks/Benefits
- 401k plan
- Employee assistance program
- Medical, dental, and vision
- Paid Holidays
- Paid sick time
- Paid vacation
- Professional development opportunities
- Remote/hybrid work
Skills/Tech-stack
CMS | Credentialing platforms | Delegated Credentialing | Healthcare credentialing | MD Staff | Modio | NCQA | Payer enrollment | Project Management | Regulatory Compliance | Team leadership
Education
Related jobs
-
Director of Credentialing and Enrollments (SLC) USD 80K-105KAudit management | CMS | Credentialing platforms | Data dashboards | Delegated Credentialing401k plan with employer contribution | Employee assistance program | Healthcare technology environment | Medical, dental & vision coverage | Paid vacation sick and holiday timeExecutive-level Full TimeSalt Lake City, Utah R13h ago
-
API Integration | AWS | Automation | Azure | CCDASenior-level Full TimeDayton WFH, United States R2d ago
-
Director, Enterprise Data Engineering & Analytics USD 139K-277KAWS | Amazon Kinesis | Amazon Redshift | Apache Spark | Azure401k savings | Employee assistance programs | Health and welfare benefits | Hybrid work flexibility | Inclusive cultureExecutive-level Full TimeNew York - 1166, United States R2d ago
-
Capital Markets | Credit Risk | Data analytics | FRTB | Financial marketsCareer developmentExecutive-level ContractBangalore, Karnataka, India R3d ago
-
Accounting Principles | Business case | Business case development | Case Development | Contract ManagementBonus eligible | Hybrid work environment | Training and development programsExecutive-level Full TimeNewark, NJ, United States R8d ago
-
Director, Data Analytics & Insights USD 100K-128KAudience insights | Behavioral Research | Data Visualization | Data analytics | Data segmentationCommunity spiritual formation | Commuter benefits | Comprehensive medical, dental, vision | Holidays | Paid leaveExecutive-level Full TimeVirginia - Remote, United States R8d ago
-
Director, Digital Marketing & Consumer Analytics USD 145K-190KAnalytics Consulting | Big Data | CRM | Customer Analytics | Data GovernanceExecutive-level Full TimePortland, OR, US R9d ago
-
Program Director - Mainframe Optimization & Delivery- (ISV migrations and software swaps) USD 155K-210KAsana | Automation | Cost Optimization | Jira | MS Project401k company match | Dental & vision coverage | Disability coverage | Education reimbursement | Fitness center accessExecutive-level Full TimeRemote - United States R9d ago
-
AI | Automation | Data Analysis | Data Visualization | ForecastingEmployee resource groups | Professional development opportunities | Workplace flexibilityMid-level Full TimeBoston, Massachusetts, United States R9d ago
-
EY-Parthenon - Deals - Transaction Analytics - Director USD 120K-250KAI Agents | Alteryx | Artificial Intelligence | Data Modeling | Data Transformation401k plan | Dental coverage | Flexible vacation policy | Hybrid work model | Medical coverageExecutive-level Full TimeNew York, NY, US, 10001-8604 R13d ago
-
Director, Business Intelligence & Analytics - 992052 USD 116K-147KAnalytics engineering | Business Intelligence | Change Management | Cloud analytics | DAMA DMBOK frameworkMedical and dental insurance | Retirement plan | Tuition waiverExecutive-level Full TimeAlternate Work Locations, Remote/Flexible R13d ago
-
Associate Director, Statistical Programming USD 170K-205KADaM | Agency support | Biometrics | Biostatistics | CDISC401k retirement plan | Disability insurance | Employee assistance program | Fitness reimbursement | Life insuranceMid-level Full TimeBridgewater, New Jersey, United States; Remote, … R13d ago
-
Causal Inference | Cloud Architecture | Deep learning | Ensemble learning | Kubeflow401k match | Adoption Assistance | Comprehensive medical, dental, vision | Parental leave | Tuition reimbursementSenior-level Full TimeSilver Triangle Building, United States R15d ago
-
Director, Data & Analytics GBP 85K-186KArtificial Intelligence | Business Intelligence | Client Management | Data Management | Data analyticsRemote flexibility | Travel opportunities | Visa sponsorshipExecutive-level Full TimeLondon R15d ago
-
Director of Applied AI USD 194K-223KA/B | A/B Testing | AWS | B testing | CI/CDGrowth opportunities | Leadership programs | Mentorship programs | Team-oriented environmentExecutive-level Full TimeUnited States R16d ago
-
Director - Analytics Consulting USD 130K-166KData Visualization | Hadoop HDFS | Hive | Machine Learning | Program ManagementCareer development opportunities | High degree of individual responsibilitySenior-level Full TimeNew Jersey, United States - Remote R16d ago
-
Analytics Presales - Director, Auto Industry USD 132K-207KAnalytics | Artificial Intelligence | Asset-backed securities | Auto Loan Securitization | Credit RiskEmployee resource groups | Learning opportunities | Remote work | Social events | Work-life balanceExecutive-level Full TimeWork from Home, United States, United … R20d ago
-
Senior Director, Data & Analytics Value Creation GBP 68K-90KBusiness Intelligence | Consulting | Data Modeling | Data analytics | DatabasesRemote work flexibility | Travel opportunitiesSenior-level Full TimeLondon R22d ago
-
Director of Risk & Analytics - Remote (PST) USD 160K-200KAdvanced Excel | Benchmarking | Captives | Consultative Communication | Data AnalysisEmployee perks and discounts | Expense reimbursement | Health insurance | Learning and development programs | Paid time offExecutive-level Full TimeRemote, United States R23d ago
-
Director IT Embedded Risk USD 161K-225KAccess Management | Control Indicators | Data Protection | Data center | Data center operationsFlexible hybrid work model | Health and life insurance | Paid time off | Pension and retirement benefits | Personal/family care leaveExecutive-level Full TimeJersey City, NJ, United States R27d ago
-
AI Governance | AI ethics | AI impact | AI impact assessment | AutomationCoaching sessions | Continuous learning courses | Professional development programsSenior-level Full TimeBowie, United States R28d ago
-
Director IT Embedded Risk INR 3300K-4000KAI Governance | API Management | Apache Tomcat | Apigee Edge | Application ArchitectureFlexible hybrid schedule | Health and life insurance | Paid time off | Pension/retirement benefits | Personal and family care leavesExecutive-level Full TimeHyderabad, India R29d ago
-
Director, Gear Analytics USD 145K-175KData Modeling | Data Visualization | Databricks | Excel | Experimentation401k retirement plan | Accident insurance | Critical illness insurance | Dental insurance | Employee assistance programExecutive-level Full TimeHybrid, Remote, US R30d ago
-
Sr. Director, Analyst, CIO & AI Leader Group – Cybersecurity & Emerging Technologies, Enterprise Risk - Remote, US USD 172K-202KArtificial Intelligence | Blockchain | CCPA | CIS Controls | Cloud SecurityFlexible work environment | Mentoring and coaching | Professional development | Remote work | Travel up to 25 percentSenior-level Full TimeRemote - Texas, United States R1mo ago
-
Director, Data Governance - 991326 USD 118K-149KAnalytics | Business glossary | Change Management | Data Catalog | Data ClassificationComprehensive benefits | Dental insurance | Medical insurance | Retirement plan | Tuition waiverExecutive-level Full TimeAlternate Work Locations, Remote/Flexible R1mo ago