Director of Credentialing

Vein Clinics of America, Inc.; Northbrook (IL); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Health

Dental

Vision

401k & Match

Paid time off

Job summary

Vein Clinics of America, Inc. is seeking a Director of Credentialing in Northbrook, IL. This leadership role oversees all provider credentialing, payer enrollment, and compliance activities. The ideal candidate has at least 7 years of experience in credentialing and payer enrollment, with extensive knowledge of CAQH and regulatory compliance.

This full-time role offers a compensation range of $90,000 - $115,000 and emphasizes process standardization and operational scalability.

Qualifications

• Minimum 7 years of credentialing experience, with at least 3 years in a leadership role.
• Experience managing multi-state provider credentialing.
• Proven success in workflow standardization.

Responsibilities

• Oversee all provider credentialing and payer enrollment activities.
• Develop and monitor credentialing KPIs and onboarding timelines.
• Lead department improvement initiatives.

Skills

Credentialing and payer enrollment experience

Leadership skills

Knowledge of CAQH

Regulatory compliance knowledge

Education

Bachelor’s degree in Healthcare Administration, Business Administration, or related field

Job description

Position Summary:

The Director of Credentialing provides strategic oversight of provider credentialing, payer enrollment, compliance, and onboarding operations. This role leads department performance, process standardization, AI-driven efficiencies, and initiatives that support organizational growth and scalability.

Position Details:

• Location: Northbrook, IL
• Schedule: Full-time, Monday through Friday on-site.
• Compensation: $90,000 - $115,000

Key Responsibilities

• Oversee all provider credentialing, payer enrollment, recredentialing, and compliance activities across the organization.
• Develop and monitor credentialing KPIs, provider onboarding timelines, enrollment aging reports, and department performance metrics.
• Lead initiatives to improve provider onboarding speed, enrollment accuracy, and regulatory compliance.
• Establish standardized credentialing processes, SOPs, and quality assurance measures across all markets.
• Partner with operations, recruiting, compliance, and clinical leadership to support provider onboarding and expansion initiatives.
• Lead credentialing system improvements, vendor management, and department optimization projects.
• Serve as the strategic operational leader responsible for credentialing efficiency, scalability, and compliance.

AI & Automation Responsibilities

• Implement AI-powered provider onboarding workflows to reduce credentialing turnaround times.
• Develop automated license, certification, and recredentialing tracking systems.
• Utilize AI to analyze enrollment bottlenecks and identify process improvement opportunities.
• Lead adoption of automation tools that streamline payer enrollment, document management, and compliance reporting.

Minimum Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field required.
• Minimum 7 years of credentialing and payer enrollment experience, with at least 3 years in a leadership role.
• Extensive knowledge of provider credentialing, payer enrollment, CAQH, recredentialing, and regulatory compliance requirements.
• Experience managing multi-state provider credentialing operations and onboarding programs.
• Proven success leading department improvements, workflow standardization, and operational scalability initiatives.

• Health
• Dental
• Vision
• 401k & Match
• Paid time off