Remote Director, Provider Licensure & Credentialing

The CORE Institute; Phoenix (AZ); Remote; USD 130,000 - 180,000; Full time

Job summary

The CORE Institute seeks a Director of Licensure, Credentialing, and Compliance to lead multi-state credentialing efforts and governance. Translate complex state requirements into standardized workflows and establish a robust control framework.

Collaborating with VBC Operations, Clinical Leadership, Legal/Compliance, Credentialing, HR, and Product/Technology, drive strategic initiatives, maintain audit-ready records, and build scalable processes across states.

Qualifications

• Minimum 5–7 years of progressive experience in provider licensure, credentialing, or related field, with at least 3 years in leadership.
• Strong knowledge of state-specific licensure and credentialing requirements across multiple states.
• Proven ability to translate regulatory requirements into practical workflows and controls.
• Experience with credentialing platforms (e.g., Zivian, Medallion, CertifyOS, symplr).
• Bachelor’s degree required; advanced degree preferred.

Responsibilities

• Plan licensure, registration, and coverage for new states and provider types.
• Oversee provider compliance risk framework with mitigation plans.
• Establish governance for compliance with KPIs and escalation protocols.
• Provide regular reporting on provider readiness and licensing.
• Manage state board reporting, filings, and attestations.
• Lead a team of 1–2, coaching and development.
• Develop dashboards and exception reporting on readiness and risks.
• Lead regulatory changes and update workflows and systems.
• Maintain audit-ready provider records with retention controls.

Skills

Strategic planning

Leadership

Regulatory knowledge

Dashboards & analytics

Vendor management

Cross-functional collaboration

Education

Bachelor’s degree in healthcare administration, business administration, or related field

Master’s degree in healthcare administration, business administration, public health, or related field preferred

Equivalent combination of education and substantial relevant experience may be considered

Credentialing, compliance, or medical staff certification preferred (e.g., CPCS, CPMSM, CHC)

Tools

Zivian

Medallion

CertifyOS

symplr

Job description

The CORE Institute seeks a Director of Licensure, Credentialing, and Compliance to lead multi-state credentialing efforts and governance. Translate complex state requirements into standardized workflows and establish a robust control framework.

Collaborating with VBC Operations, Clinical Leadership, Legal/Compliance, Credentialing, HR, and Product/Technology, drive strategic initiatives, maintain audit-ready records, and build scalable processes across states.