Strategic Director, Credentialing & Licensing Ops

U.S. Oral Surgery Management

Irving (TX)

On-site

USD 130,000 - 180,000

Full time

7 days ago
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Job summary

U.S. Oral Surgery Management in Irving, TX is seeking a Director to oversee Provider Credentialing & Licensing Operations, ensuring all oral surgeons are licensed and credentialed on time.

The role partners with credentialing vendors to design processes, define roles, and maintain audit-ready compliance across states. You will lead a team, manage onboarding and hospital privileges workflows, and build policies for delegated and traditional credentialing, with dashboards and reporting for

Qualifications

  • Bachelor’s degree in healthcare administration, business or a related field.
  • 8+ years of experience in provider credentialing, licensing or payer enrollment, in dental, medical or another healthcare setting.
  • 5+ years managing people.
  • Experience partnering with an outsourced credentialing vendor to build processes and workflows.
  • Hands-on experience building or running a delegated credentialing program, including policies, credentialing committee, payer delegation audits and monthly roster reconciliation.
  • Basic understanding of state licensing, permit and compliance requirements, and the ability to research them state by state.
  • Proven experience managing vendors through SLAs, KPIs and scorecards, and managing a department budget.
  • Experience designing and documenting workflows and defining team roles, including setting up and managing a ticket-based service process (for example, ServiceNow, Zendesk, Jira or similar).
  • Strong reporting experience, including using credentialing, ticketing and vendor systems to extract reports and service tickets, and building KPI dashboards in advanced Excel (Power BI or similar a plus).
  • Very strong written and verbal communication skills, including presenting to executives, and a self-starter who works well with limited direction.

Responsibilities

  • Vendor partnership and process design in credentialing and licensing.
  • Team leadership and workflows for licensing, credentialing oversight, compliance and reporting.
  • Licensing and compliance management across states, including renewals and audit readiness.
  • Delegated credentialing program design and governance with payers.
  • Traditional credentialing oversight and timely payer enrollment.
  • Hospital privileges support, enrollment workflows and governance.
  • Reporting, KPIs and vendor SLAs with monthly dashboards for leadership.

Skills

Vendor management
Leadership
Credentialing expertise
Policy development
Communication

Education

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

Tools

ServiceNow
Zendesk
Jira
Power BI

Job description

U.S. Oral Surgery Management in Irving, TX is seeking a Director to oversee Provider Credentialing & Licensing Operations, ensuring all oral surgeons are licensed and credentialed on time.

The role partners with credentialing vendors to design processes, define roles, and maintain audit-ready compliance across states. You will lead a team, manage onboarding and hospital privileges workflows, and build policies for delegated and traditional credentialing, with dashboards and reporting for

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