Brigade Health · 8 hours ago
Credentialing Lead
United States
Full-time
Remote
Mid, Senior Level
$105K/yr - $140K/yr
5+ years expBrigadehealth is a growing medical organization, and they are seeking a Credentialing Lead to oversee provider credentialing, recredentialing, and payer enrollment. This role focuses on ensuring compliance, process improvement, and scalability in credentialing operations to support the organization's growth.
Hospital & Health Care
Responsibilities
Own the full provider credentialing and recredentialing process for physicians, APPs, and clinical staff
Manage payer enrollment with commercial, Medicare, and Medicaid plans
Serve as the credentialing subject-matter expert for regulatory and accreditation requirements
Maintain credentialing policies, procedures, and documentation standards
Evaluate and improve credentialing workflows, cycle times, and handoffs
Standardize credentialing and enrollment processes to support multi-state growth
Develop SLAs, checklists, escalation paths, and quality controls
Partner with HR, Medical Operations, Revenue Cycle, Compliance, Legal, and Contracting
Ensure compliance with NCQA, CMS, state medical boards, and payer credentialing requirements
Maintain audit-ready credentialing files and lead internal and external audits
Identify credentialing and enrollment risks and implement mitigation plans
Oversee clinician supervisory roster management
Lead, train, and develop credentialing and enrollment staff
Establish performance metrics and accountability
Create documentation and training to reduce operational risk
Scale credentialing team structure and workflows (Director level)
Track and report on credentialing KPIs (time to credential, time to enroll, backlog, expirables)
Provide clear status updates to executive and clinical leadership
Set realistic credentialing and enrollment timelines with stakeholders
Qualification
Required
5+ years of experience in provider credentialing and payer enrollment
Associate's degree required; Bachelor's degree in Healthcare Administration, Business, or related field preferred
Proven experience managing provider credentialing operations in a healthcare or medical group setting
Strong knowledge of NCQA, CMS, payer enrollment, and state licensing requirements
Experience leading credentialing teams and improving operational performance
Strong skills in process design, workflow optimization, and compliance management
Preferred
CPCS, CPMSM, or equivalent credentialing certification
Experience in healthcare services, medical groups, MSOs, or value-based care organizations
Experience supporting multi-state provider operations
Experience implementing or optimizing credentialing software or enrollment platforms
Benefits
Eligible for a performance-based bonus incentive
Company
Brigade Health
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase