Imagine Pediatrics · 3 weeks ago
Director, Credentialing
United States
Full-time
Remote
Director/Executive
$130K/yr - $160K/yr
7+ years expImagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. The Director, Credentialing oversees the operations of the Onboarding, Credentialing, Licensing, and Enrollment Department to manage Providers for a multi-specialty telehealth group across multiple markets.
Child CareHospitalMedical
Responsibilities
Manage staff that process New Provider Onboarding, Credentialing, Licensing, and Enrollment for multi-specialty providers (MD/DO, NP, PA, RN, RD, RPh, LCSW, LMFT, etc.)
Develop and train on policies and procedures, workflows, and training documentation for the team to support successful day-to-day operations
Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans
Analyze and prepare reports on status and trends in submitted applications, existing Licenses/Enrollments, and expirables for cross-functional leaders
Ensure department milestones, projects, deadlines, SLAs and objectives are met; manage team performance against SLAs actively
Manage Credentialing Committee including maintenance of Credentialing software and Provider Rosters to comply with Delegation requirements
Qualification
Required
At least five years' experience with Credentialing delegation audits
Strong knowledge of state Medicaid delegated credentialing requirements
Deep NCQA knowledge (5 years of experience) developing and managing credentialing policy and procedures
Previous experience managing functions in Verifiable and Athena
Have good working knowledge of guidelines and requirements of Licensure and Medicaid across several markets
Excellent communication skills with internal stakeholders at variable levels (including Executive Leadership)
Strong organizational skills
Preferred
At least seven years' experience preferred as a Credentialing, Licensing, and/or Enrollment Specialist
At least five years' experience preferred as a people manager of at least five team members
CPCS (Certified Provider Credentialing Specialist) certification strongly preferred
Benefits
Competitive medical, dental, and vision insurance
Healthcare and Dependent Care FSA; Company-funded HSA
401(k) with 4% match, vested 100% from day one
Employer-paid short and long-term disability
Life insurance at 1x annual salary
20 days PTO + 10 Company Holidays & 2 Floating Holidays
Paid new parent leave
Additional benefits to be detailed in offer
Company
Imagine Pediatrics
Imagine Pediatrics is a virtual healthcare service for children with complex medical conditions.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$104.62M2025-09-17Series B· $67M
2025-03-12Series A· $37.62M
Leadership Team
Meghan Haycraft
Co-Founder and SVP Clinical Product
Taylor Beery
Co-Founder, Chief Innovation and Administrative Officer
Recent News
Behavioral Health Business
2025-10-16
Morningstar.com
2025-10-15
Company data provided by crunchbase