Director of Credentialing and Enrollments

Role Description

The Director of Credentialing will lead our credentialing operations and be responsible for the timely and compliant onboarding of our clinician workforce across all markets. This individual will manage the end-to-end credentialing lifecycle, ensure compliance with payer and regulatory requirements, and scale systems and processes to support rapid company growth. This is a remote/hybrid position.

Roles and Responsibilities

• Oversee the full credentialing and recredentialing process for all W-2 clinicians across multiple states and payer networks.
• Lead, mentor, and scale a credentialing team to support onboarding volume and geographic expansion.
• Develop and maintain credentialing policies and procedures aligned with NCQA, CMS, and state-specific guidelines.
• Manage payer enrollment processes, including delegated credentialing arrangements, and support related audits.
• Partner with recruiting, clinical operations, legal, and finance to ensure efficient onboarding workflows and regulatory compliance.
• Build and maintain credentialing data systems and dashboards for tracking, reporting, and performance improvement.
• Monitor regulatory changes and payer requirements to ensure continued compliance and proactive risk management.
• Represent the credentialing function in cross-functional and payer-facing meetings.

Qualifications

• Bachelor’s degree required; CPCS, CPMSM, or equivalent credentialing certification preferred.
• 7+ years of experience in healthcare credentialing, with at least 3 years in a leadership role.
• Strong knowledge of behavioral health credentialing and payer enrollment processes.
• Experience with delegated credentialing relationships and managing audits.
• Familiarity with credentialing platforms such as Modio, MD-Staff, or similar systems.
• Ability to lead through scale, optimize systems, and build efficient, compliant workflows.
• Strong communication, project management, and team-building skills.
• Located in or willing to commute regularly to Salt Lake City, UT (hybrid schedule).

Benefits

• W2 role with competitive compensation.
• Medical, Dental and Vision on the first of the month after employment.
• Paid Vacation, Sick, and Holiday time.
• Employee Assistance Program (EAP) provides confidential counseling services, resources, and support to help you navigate personal or professional challenges.
• 401(k) plan with company contribution.
• Opportunity to work in a cutting-edge healthcare technology environment.
• Professional development opportunities and training.
• Collaborative and supportive work culture.
• Impactful role contributing to the enhancement of patient care and healthcare processes.
• $100,000 - $120,000 a year.