Director of Contracting & Credentialing

Role Description

Smile Brands is seeking a Director of Contracting & Credentialing to lead our provider enrollment function and drive operational excellence across a multi-state organization. Reporting to the Vice President of Revenue Cycle Management, this role will oversee provider contracting and credentialing strategy, ensuring efficient onboarding, payer alignment, and regulatory compliance to support revenue cycle performance and provider satisfaction.

Schedule: Monday - Friday 8am - 5pm

• Lead and optimize provider contracting and credentialing operations across a multi-state network of supported practices
• Develop and execute strategies to reduce time-to-credential and accelerate provider onboarding, improving speed to revenue
• Build and maintain strong relationships with payers, partnering to resolve issues and streamline contracting processes
• Ensure compliance with all federal, state, and payer-specific requirements, including credentialing standards and audit readiness
• Oversee primary source verification processes, including license, DEA, board certification, and NPDB queries
• Establish and monitor KPIs and performance metrics (e.g., turnaround times, approval rates, backlog management)
• Partner cross-functionally with Revenue Cycle, Operations, HR, and Compliance to ensure accurate and timely provider data
• Lead system and process improvements, including automation and workflow optimization within credentialing and contracting systems
• Manage relationships with external vendors supporting credentialing and verification services
• Oversee department budget, resource planning, and organizational design
• Lead, develop, and mentor a high-performing team, fostering accountability, engagement, and continuous improvement
• Provide regular reporting and insights to executive leadership on performance, risks, and opportunities

Qualifications

• 5+ years of experience in provider contracting, credentialing, or provider enrollment within healthcare or dental
• 3+ years of leadership experience, including managing and developing teams
• Strong understanding of payer contracting, credentialing processes, and regulatory requirements
• Experience supporting or partnering with Revenue Cycle Management functions
• Demonstrated ability to improve processes, drive efficiency, and scale operations
• Strong analytical skills with experience using data to drive decision-making
• Advanced proficiency in Microsoft Excel and reporting tools
• Excellent cross-functional collaboration and communication skills

Requirements

• Bachelor’s degree in Business, Healthcare Administration, or related field (preferred)
• Experience in a Dental Service Organization (DSO) or multi-site healthcare organization (preferred)

Compensation

$125,000 - $150,000 per year

Benefits

• Paid time off (“PTO”)
• Health, dental, and vision insurance
• Health savings account
• Telemedicine services
• Flexible spending accounts
• Life insurance
• Disability insurance
• Employee discount programs
• Pet insurance
• 401k plan