Director of Credentialing & Payer Enrollment

USA Clinics Group; 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 Clinics Group is seeking a Director of Credentialing located in Northbrook, IL, responsible for overseeing provider credentialing and payer enrollment processes. The role emphasizes compliance and operational efficiency.

The ideal candidate will need a Bachelor’s degree, 7+ years of related experience, and proven success in leadership within multi-state operations. Compensation ranges between $90,000 and $115,000 annual salary along with comprehensive health benefits, a retirement plan, and paid time off.

Qualifications

• Minimum 7 years of credentialing and payer enrollment experience, with at least 3 years in a leadership role.
• Extensive knowledge of CAQH, recredentialing, and compliance requirements.
• Proven success leading department improvements and operational scalability.

Responsibilities

• Oversee all provider credentialing and payer enrollment activities.
• Develop and monitor credentialing KPIs and department performance metrics.
• Implement AI-powered workflows to reduce turnaround times.

Skills

Provider credentialing

Payer enrollment

Regulatory compliance

Multi-state credentialing operations

AI-driven efficiencies

Education

Bachelor’s degree in Healthcare Administration or related field

Job description

USA Clinics Group is seeking a Director of Credentialing located in Northbrook, IL, responsible for overseeing provider credentialing and payer enrollment processes. The role emphasizes compliance and operational efficiency.

The ideal candidate will need a Bachelor’s degree, 7+ years of related experience, and proven success in leadership within multi-state operations. Compensation ranges between $90,000 and $115,000 annual salary along with comprehensive health benefits, a retirement plan, and paid time off.