Pennsylvania Licensed Provider Credentialing Director

A company is looking for a Senior Director Provider Credentialing and Enrollment.

Key Responsibilities

Oversee all aspects of credentialing, re-credentialing, payer enrollment, and facility enrollment activities

Lead the design and implementation of a centralized provider and facility credentialing model

Manage relationships with third-party payers and monitor KPIs for provider readiness and enrollment turnaround times

Required Qualifications, Training, and Education

Bachelor's Degree in a Healthcare Related Field (Required)

Minimum of 7 years of related work experience (Required)

Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) preferred

AAPC or HFMA credential with broader revenue cycle exposure preferred