Senior Director of Credentialing & Compliance

PROGYNY; New York (NY); On-site; USD 130,000 - 145,000; Full time

Benefits offered by this job

Family-friendly benefits

Bonus program

401(k) plan with company match

Onsite meals and snacks in NY office

Learning and development programs

Mentorship program

Job summary

Progyny in New York City is seeking a seasoned Credentialing leader to oversee direct and delegated credentialing, drive accreditation readiness, and mentor a high-performing team. You will manage the credentialing database, optimize workflows, define KPIs, and partner with HR, compliance, and providers to ensure timely, compliant credentialing across our network.

Applicants should bring 10+ years in medical staff services, CPCS/CPMSM, and a track record of policy development, data governance,

Qualifications

• 10+ years in medical staff services/credentialing.
• Bachelor's degree preferred or equivalent experience.
• CPCS or CPMSM certification required.

Responsibilities

• Oversee direct and delegated credentialing processes.
• Ensure accreditation and regulatory compliance.
• Lead credentialing operations and staff.
• Maintain credentialing database and improve workflows.
• Provide data governance and routine leadership reporting.
• Coordinate provider lifecycle workflows.

Skills

People leadership

Credentialing expertise

Audits & compliance

Data reporting

Policy development

Discretion/confidentiality

Project management

Education

Bachelor's degree preferred

CPCS or CPMSM certification

Tools

Credentialing software

Databases

Reporting tools

Job description

Progyny in New York City is seeking a seasoned Credentialing leader to oversee direct and delegated credentialing, drive accreditation readiness, and mentor a high-performing team. You will manage the credentialing database, optimize workflows, define KPIs, and partner with HR, compliance, and providers to ensure timely, compliant credentialing across our network.

Applicants should bring 10+ years in medical staff services, CPCS/CPMSM, and a track record of policy development, data governance,