Credentialing Director: Lead Enrollment & Compliance Strategy

Assembly Health; United States; On-site; USD 100,000 - 120,000; Full time

Job summary

Assembly Health is seeking an experienced Credentialing Director to lead provider enrollment, credentialing, and re-credentialing across the department. You will set strategy, KPIs, and scalable processes while managing a team of Enrollment Specialists and Credentialing Account Managers.

You will report to senior leadership, partner with Revenue Cycle, Compliance, and Clinical Leadership, and drive department-wide improvements to ensure payer compliance and data accuracy as we scale nationally.

Qualifications

• 7+ years of experience in provider relations, credentialing, enrollment, or healthcare operations with progressive leadership responsibility.
• 4+ years of people management experience overseeing multiple reports or managers.
• Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows.
• Proven ability to build and lead teams, drive accountability, and implement scalable processes at department level.
• Exceptional organizational, analytical, and reporting skills with experience presenting to senior leadership.
• Strong communication skills with the ability to influence across levels and functions.
• Proficiency in Microsoft Office Suite and credentialing/enrollment databases.
• Thrives in a fast-paced, high-growth environment with evolving priorities.
• Detail-oriented with strong problem-solving and decision-making capabilities.

Responsibilities

• Oversee the credentialing department, including Provider Enrollment Specialists and Credentialing Account Managers, with clear roles and performance standards.
• Set department goals and strategy aligned with organizational growth objectives.
• Coach, mentor, and develop team members; manage performance and career growth.
• Establish and monitor department-wide KPIs (e.g., turnaround time, retention, Net Promoter Score) and hold the team accountable.
• Oversee all provider enrollment, credentialing, and re-credentialing activities ensuring accuracy and payer compliance.
• Maintain documentation and tracking of enrollment status, payer communications, and provider data across systems.
• Escalate complex provider, payer, or claims-related issues; ensure readiness and capacity for growth.
• Partner with Credentialing Account Manager to support client-facing commitments.

Skills

Leadership

Strategic thinking

People management

Communication

Process improvement

Healthcare operations

Education

Bachelor's degree

Healthcare administration preferred

Job description

Assembly Health is seeking an experienced Credentialing Director to lead provider enrollment, credentialing, and re-credentialing across the department. You will set strategy, KPIs, and scalable processes while managing a team of Enrollment Specialists and Credentialing Account Managers.

You will report to senior leadership, partner with Revenue Cycle, Compliance, and Clinical Leadership, and drive department-wide improvements to ensure payer compliance and data accuracy as we scale nationally.