Director of Provider Enrollment & Network Readiness

Alignment Healthcare Inc.; Northern (KY); Hybrid; USD 126,000 - 190,000; Full time

Job summary

Alignment Health is seeking a Director of Provider Enrollment to lead enrollment operations across the health plan, ensuring timely onboarding of contracted providers, delegated credentialing, and accurate provider data. You will partner with Credentialing, Network Management, Claims, Compliance, and Technology teams to maintain regulatory compliance and drive operational efficiency.

The role requires 10+ years in healthcare operations and 5+ years in leadership, with a Bachelor's in a related

Qualifications

• 10+ years of healthcare operations experience within a health plan, managed care organization, provider network, or healthcare administration environment.
• 5+ years of leadership experience managing provider enrollment, credentialing, provider data management, network operations, or related functions.
• Experience managing delegated credentialing programs and provider roster governance.
• Experience overseeing provider contract implementation and onboarding operations.
• Strong knowledge of provider data, credentialing, enrollment, and network management processes.

Responsibilities

• Lead the end-to-end provider enrollment function from contract execution through provider activation.
• Oversee provider onboarding activities including contracted providers, facilities, IPAs, and delegated entities.
• Establish governance for contract implementation workflows across contracting, credentialing, enrollment and provider data teams.

Skills

Leadership

Provider enrollment operations

Regulatory compliance

Stakeholder management

Executive communication

Education

Bachelor's degree in healthcare administration, Business Administration, Public Health, or related field

Master's degree (preferred)

Job description

Alignment Health is seeking a Director of Provider Enrollment to lead enrollment operations across the health plan, ensuring timely onboarding of contracted providers, delegated credentialing, and accurate provider data. You will partner with Credentialing, Network Management, Claims, Compliance, and Technology teams to maintain regulatory compliance and drive operational efficiency.

The role requires 10+ years in healthcare operations and 5+ years in leadership, with a Bachelor's in a related