Remote Director of Credentialing & Compliance

Upstream Rehabilitation Inc.; Tampa (FL); À distance; USD 120 000 - 160 000; Plein temps

Avantages offerts par ce poste

Annual paid Charity Day

100% employer paid medical insurance

Dental and Vision insurance

401(k) with company match

Generous PTO and paid holidays

Professional development opportunities

Résumé du poste

Upstream Rehabilitation Inc. is seeking a Director of Credentialing to provide strategic leadership across credentialing, enrollment, and compliance. You will drive process improvements and ensure audit readiness while overseeing a diverse, nationwide provider network.

The role requires deep expertise in provider enrollment, NCQA standards, and strong cross-functional collaboration to support organizational growth and operational excellence.

Qualifications

• Bachelor's degree or equivalent in healthcare administration or related field.
• 8+ years in healthcare credentialing, enrollment, or related area.
• 5+ years of leadership experience managing credentialing teams.

Responsabilités

• Provide strategic leadership for credentialing, enrollment, recredentialing, delegated credentialing, and compliance.
• Lead and mentor a high-performing credentialing team with a culture of accountability and continuous improvement.
• Oversee onboarding, recredentialing, ongoing monitoring, and maintenance of provider records across payer networks.
• Serve as SME on credentialing standards, regulatory requirements, and audit readiness.
• Direct delegated credentialing programs and payer relationships with ongoing compliance and reporting.
• Partner cross-functionally to support onboarding, clinic growth, acquisitions, relocations, and network participation.

Connaissances

Strategic leadership

Team development

Process improvement

Regulatory compliance

Cross-functional collaboration

Payer relations

Formation

Bachelor's degree in Healthcare Administration or related field

Outils

CredentialStream

CAQH

PECOS

NPPES

Availity

Description du poste

Upstream Rehabilitation Inc. is seeking a Director of Credentialing to provide strategic leadership across credentialing, enrollment, and compliance. You will drive process improvements and ensure audit readiness while overseeing a diverse, nationwide provider network.

The role requires deep expertise in provider enrollment, NCQA standards, and strong cross-functional collaboration to support organizational growth and operational excellence.