Strategic Director, Provider Enrollment & Credentialing

Alignment Healthcare USA, LLC in; Orange (CA); On-site; USD 126,000 - 190,000; Full time

Job summary

Alignment Health is seeking a Director of Provider Enrollment to lead the end-to-end provider onboarding, contract implementation, and delegated credentialing governance. This role partners with Network Management, Credentialing, and Provider Data teams to ensure accurate provider records and operational readiness for timely member access and claims adjudication.

The ideal candidate has 10+ years in healthcare operations, with 5+ years in leadership roles overseeing enrollment, credentialing, or

Qualifications

• 10+ years of healthcare operations experience within a health plan or similar
• Strong leadership in provider enrollment, credentialing, or data management
• Experience managing delegated credentialing programs and provider roster governance.

Responsibilities

• Lead end-to-end provider enrollment from contract to activation.
• Oversee onboarding for contracted providers, facilities, IPAs, and delegated entities.
• Govern contract implementation workflows and ensure data accuracy across systems.
• Develop enrollment procedures, controls, and quality assurance processes.
• Monitor delegated roster submissions and ensure regulatory compliance.

Skills

Provider enrollment

Credentialing

Data management

Network operations

CMS/NCQA knowledge

Education

Bachelor's degree

Master's degree

Job description

Alignment Health is seeking a Director of Provider Enrollment to lead the end-to-end provider onboarding, contract implementation, and delegated credentialing governance. This role partners with Network Management, Credentialing, and Provider Data teams to ensure accurate provider records and operational readiness for timely member access and claims adjudication.

The ideal candidate has 10+ years in healthcare operations, with 5+ years in leadership roles overseeing enrollment, credentialing, or