Sr. Director, Credentialing

Astera Cancer Care; Northern (KY); Hybrid; USD 140,000 - 190,000; Full time

Job summary

OneOncology is seeking a Senior Director of Credentialing to lead enterprise credentialing, enrollment, licensing, and provider onboarding across the platform. You will set performance expectations, oversee teams, and drive automation to reduce manual tasks while developing executive dashboards.

You will guide cross-functional collaboration with Revenue Cycle, Operations, Compliance, HR, IT, and Legal to ensure compliant, scalable processes across markets and payers, with 25% travel expected.

Qualifications

• 8+ years of progressive healthcare credentialing, enrollment, and provider operations experience.
• 5+ years of management experience in credentialing/enrollment.
• Experience leading enterprise-scale credentialing across multiple states/practice groups.
• Experience supporting mergers, acquisitions, or rapid growth preferred.

Responsibilities

• Provide strategic leadership for enterprise credentialing, enrollment, and licensing operations.
• Develop and execute long-term credentialing and enrollment strategies to accelerate provider onboarding.
• Lead, mentor, and develop a high-performing leadership team.
• Establish performance standards and KPIs for credentialing and enrollment operations.
• Represent credentialing and enrollment in executive discussions and strategic planning.

Skills

Leadership

Credentialing

Operations Management

Strategic Planning

Education

Bachelor's degree

Job description

Why join us?

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description: Role Summary:

The Senior Director, Credentialing will report to OneOncology’s VP, RCM Practice Services and is responsible for the strategic leadership, operational performance, and continuous advancement of enterprise credentialing, enrollment, licensing, privileging, and provider onboarding functions across the OneOncology platform. The Senior Director will be responsible for setting performance expectations and ensuring adherence to agreed upon metrics for the Credentialing Team. They will provide oversight and best practices for all credentialing related work while complying with state and federal standards. The Senior Director will also be responsible for developing and maintaining advanced workflows that leverage automation to reduce manual tasks. Additional responsibilities include developing executive-level dashboards and communicating performance to the key stakeholders providing real-time status updates as appropriate.

Responsibilities:

• Provide strategic leadership for enterprise-wide credentialing, provider enrollment, and licensing operations, ensuring scalable, compliant, and efficient processes that support organizational growth across multiple markets, practice locations, and payer networks.
• Develop and execute a long-term credentialing and enrollment strategy that accelerates provider onboarding, minimizes revenue disruption, and enhances the overall provider experience across the OneOncology platform.
• Lead, mentor, and develop a high-performing leadership team, fostering a culture of accountability, continuous improvement, and operational excellence.
• Establish organizational performance standards and key performance indicators for credentialing and enrollment operations, driving transparency, accountability, and measurable business outcomes across the enterprise.
• Serve as the executive sponsor for provider onboarding initiatives, ensuring alignment among credentialing, revenue cycle, operations, compliance, payers, and practice leadership to achieve timely provider activation and revenue readiness.
• Direct the development, implementation, and governance of credentialing, enrollment, and licensing policies and procedures, ensuring compliance with federal, state, payer, accreditation, and regulatory requirements.
• Champion large-scale process transformation initiatives that optimize credentialing workflows, reduce cycle times, enhance service delivery, and drive operational efficiencies across the organization.
• Lead strategic technology adoption efforts, partnering with internal stakeholders and external vendors to evaluate, prioritize, and implement innovative solutions that improve automation, data integrity, reporting capabilities, and operational scalability.
• Act as the executive subject matter expert for credentialing, enrollment, licensing, and provider onboarding, advising senior leadership on strategic initiatives, regulatory developments, operational risks, and growth opportunities.
• Establish enterprise reporting and analytics strategies that provide actionable insights into credentialing performance, onboarding timelines, payer engagement, compliance metrics, and revenue impact, supporting informed executive decision‑making.
• Partner with Revenue Cycle Management leadership to establish proactive governance structures that identify and resolve credentialing‑related reimbursement risks, optimize payer enrollment performance, and reduce revenue leakage associated with credentialing and enrollment deficiencies.
• Drive cross‑functional collaboration among Operations, Revenue Cycle, Compliance, HR, IT, Legal, and Practice Leadership to ensure credentialing and enrollment capabilities effectively support enterprise growth strategies, acquisitions, and market expansion initiatives.
• Lead organizational readiness and integration efforts for mergers, acquisitions, and new practice partnerships, ensuring seamless credentialing, licensing, payer enrollment, and provider onboarding transitions that support business continuity and financial performance.
• Develop and maintain enterprise risk management frameworks for credentialing and enrollment operations, proactively identifying compliance vulnerabilities, operational bottlenecks, and payer‑related challenges while implementing sustainable mitigation strategies.
• Represent credentialing and enrollment operations in executive leadership discussions, contributing strategic insights that support enterprise objectives, organizational growth, operational excellence, and long‑term value creation.

Qualifications:

• 8+ years of progressive healthcare credentialing, enrollment, and provider operations experience 5+ years of management experience required in a credentialing/enrollment environment
• Demonstrated experience leading enterprise‑scale credentialing operations across multiple states, practices, or provider groups
• Proven track record of leading organizational transformation and process improvement initiatives
• Expertise of enrollment processes with Commercial and Government payors
• Experience supporting mergers, acquisitions, practice integrations, or rapid organizational growth preferred
• Experience operationalizing ASC‑based credentialing/privileging and/or delegation agreements is preferred
• Bachelor’s degree required
• This position is remote based with 25% travel expected

This job description does not contain a full listing of activities, duties or responsibilities required for this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. #LI-REMOTE

OneOncology was founded by community physicians, for community physicians, with the mission of improving the lives of everyone living with cancer and other diseases. Our goal is to enable community medical practices to remain independent and to improve patient access to care in their communities, all at a lower cost than in the hospital setting. OneOncology supports our platform of community medical practices through group purchasing, operational optimization, practice growth, and clinical innovation. Our partner practices comprise approximately 2,300+ providers who care for approximately 1.5 million patients across 20 states.