Director, Provider Enrollment & Onboarding

Alignment Healthcare USA, LLC; Orange (CA); On-site; USD 126,000 - 190,000; Full time

Job summary

Alignment Health is seeking a Director of Provider Enrollment to lead end-to-end provider onboarding, contract implementation, and delegated credentialing. You will collaborate with Network Management, Credentialing, Provider Data, and Claims teams to ensure timely activation and accurate provider records across core systems.

The role emphasizes regulatory compliance with CMS/NCQA, data governance, and driving operational excellence through automation and process improvements to support growth

Qualifications

• 10+ years of healthcare operations experience within a health plan, MCO, 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 for contracted providers, facilities, ancillary providers, IPAs, and delegated entities.
• Establish governance for contract implementation workflows across contracting, credentialing, enrollment, and provider data teams.
• Ensure provider records are accurately configured across downstream systems.
• Maintain policies and controls to ensure regulatory compliance and audit readiness.

Skills

Provider enrollment

Leadership

Regulatory compliance

Data governance

Process improvement

Stakeholder management

Education

Bachelor's degree in healthcare administration

Master's degree preferred

Job description

Alignment Health is seeking a Director of Provider Enrollment to lead end-to-end provider onboarding, contract implementation, and delegated credentialing. You will collaborate with Network Management, Credentialing, Provider Data, and Claims teams to ensure timely activation and accurate provider records across core systems.

The role emphasizes regulatory compliance with CMS/NCQA, data governance, and driving operational excellence through automation and process improvements to support growth