Director of Credentialing

USA CLINIC SL; 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 CLINIC SL is seeking a Director of Credentialing in Northbrook, IL. This role provides strategic oversight of provider credentialing and compliance activities, ensures operational efficiency, and develops standardized processes. The position requires a minimum of 7 years of relevant experience and a Bachelor's degree in Healthcare Administration.

This full-time role offers a competitive salary of $90,000 - $115,000, along with health, dental, vision, and 401k benefits. Responsibilities include leading department performance, implementing AI-driven efficiencies, and partnering with various leaders across the organization.

Qualifications

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

Responsibilities

• Oversee all provider credentialing and compliance activities.
• Develop and monitor credentialing KPIs and performance metrics.
• Lead initiatives to improve provider onboarding speed and accuracy.

Skills

Leadership

Credentialing knowledge

Process improvement

Healthcare Administration

Regulatory compliance

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

• 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