Payer Contracting & Network Lead — Credentialing Strategy

Aspire Allergy & Sinus; Austin (TX); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Annual incentive

Medical, Dental, Vision Insurance

Life Insurance

Mileage Reimbursement

Paid Time Off

401(k) with Match

Treatment Discounts

Reward Program

Job summary

Aspire Allergy & Sinus seeks a Director of Payer Contracting, Network & Provider Credentialing to drive payer contracting strategy and manage credentialing and enrollment across markets. You will lead contract negotiations, establish governance, and partner with Finance and Operations to improve reimbursement and access.

This role requires building executive payer relationships, directing the Credentialing Manager, and ensuring readiness for new locations and launches.

Qualifications

• Bachelor’s degree or equivalent in a related field.
• 7+ years in provider credentialing, payer enrollment, or healthcare administration.

Responsibilities

• Develop and lead payer contracting, network participation, reimbursement, and credentialing strategy across markets.
• Lead negotiations, renewals, amendments, and escalations with payer partners.
• Establish contract governance with inventories of agreements, products, and rates.
• Partner with Revenue Cycle Management to resolve underpayments and enrollment issues.
• Set policies and performance measures for credentialing and enrollment.

Skills

Payer contracting

Negotiation

Provider credentialing

Financial analysis

Leadership

Communication

Education

Bachelor’s degree in healthcare administration / business / finance

7+ years in credentialing or healthcare administration

Tools

CAQH

PECOS

NPPES

NPDB

Payer portals

Job description

Aspire Allergy & Sinus seeks a Director of Payer Contracting, Network & Provider Credentialing to drive payer contracting strategy and manage credentialing and enrollment across markets. You will lead contract negotiations, establish governance, and partner with Finance and Operations to improve reimbursement and access.

This role requires building executive payer relationships, directing the Credentialing Manager, and ensuring readiness for new locations and launches.