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AnswersNow · 2 weeks ago

Director of Credentialing, Licensing & Payer Enrollment

United States

Full-time

Remote

Lead/Staff, Director/Executive

$95K/yr - $120K/yr

3+ years exp

AnswersNow is reshaping the future of autism therapy by making it more immediate, accessible, and effective for families. The Director of Credentialing, Licensing & Payer Enrollment is responsible for the strategic oversight and execution of all provider credentialing and payer enrollment activities, ensuring timely onboarding and compliance.

ConsumerFamilySoftware

Responsibilities

Lead, coach, and develop the Credentialing & Licensing team

Design and implement scalable credentialing and enrollment workflows

Partner closely with Provider Onboarding and Growth teams to ensure all required documentation is collected promptly and credentialing is initiated without delay

Oversee the review and validation of practitioner applications

Own payer enrollment and credentialing activities and coordinate payer contracting submission

Own credentialing systems, vendors, and tools including CAQH, NPPES, payer portals, and internal platforms

Provide regular executive-level updates on credentialing performance, priorities, and operational risks

Qualification

Provider CredentialingPayer EnrollmentHealthcare ReimbursementCredentialing SystemsManaged Care ContractingTeam LeadershipVendor ManagementWorkflow AutomationAttention to DetailOrganization Skills

Required

Bachelor's degree or equivalent healthcare experience in credentialing, provider enrollment, or contracts administration

3–5+ years of progressive experience in provider credentialing, payer enrollment, or payor relations within an insurance company, hospital system, or large provider group

Demonstrated experience leading teams and/or managing vendors

Strong working knowledge of healthcare reimbursement, managed care contracting, and payer enrollment processes

Proficiency with credentialing systems, payer portals, and reporting tools