Director of Credentialing

USA Vein Clinics, Vascular, Fibroid and Oncology Centers; 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

USA Vein Clinics, Vascular, Fibroid and Oncology Centers is seeking a Director of Credentialing in Northbrook, IL. The role requires strategic oversight of credentialing, payer enrollment, and compliance operations. The ideal candidate will lead initiatives for process standardization and AI-driven efficiencies to enhance organizational growth.

Applicants must have a Bachelor’s degree and at least 7 years of credentialing experience, including 3 years in leadership. Benefits include health, dental, vision, 401k match, and paid time off.

Qualifications

• Minimum 7 years of credentialing and payer enrollment experience.
• At least 3 years in a leadership role.
• Knowledge of CAQH and regulatory compliance.

Responsibilities

• Oversee provider credentialing, payer enrollment, and recredentialing.
• Develop and monitor credentialing KPIs and performance metrics.
• Implement AI-powered workflows to improve onboarding.

Skills

Provider credentialing

Payer enrollment

Regulatory compliance

Leadership

AI-driven efficiencies

Education

Bachelor's degree in Healthcare 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.

Requirements

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.

Benefits

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