Director of Credentialing, Licensing & Payer Enrollment
Role Overview
This senior leadership role involves overseeing provider credentialing, licensing, and payer enrollment activities to ensure timely onboarding and revenue generation. The Director leads a team, manages vendors, and collaborates cross-functionally to maintain compliance and scalability. Key responsibilities include designing workflows, handling payer enrollment, and providing executive reporting on operational risks and performance.
Perks & Benefits
The job offers fully remote work from anywhere in the U.S. with flexible hours and an async-friendly culture, promoting work-life balance. It includes a competitive salary range of $95k-$120k per year and opportunities for career growth in a high-growth, technology-enabled healthcare environment. The role involves leading a team and managing external vendors, with a focus on innovation and impact in autism therapy.
Full Job Description
Director of Credentialing, Licensing & Payer Enrollment (Full-Time/ W2)
Remote, Anywhere in the US
About the Role
The Director of Provider Credentialing, Licensing & Payer Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all provider credentialing, re-credentialing, payer enrollment, contracting coordination, and licensure activities across all AnswersNow business entities.
This is a high-visibility leadership role critical to enabling timely provider onboarding, multi-state expansion, and revenue generation. The Director ensures that providers and groups are credentialed, contracted, and licensed accurately and on time so that services may be delivered, billed, and reimbursed without delay. This role leads the credentialing team, manages external vendors, partners cross-functionally with RCM, growth, operations, scheduling, and technology teams, and delivers clear, data-driven reporting to executive leadership.
Key Outcomes & Success Metrics
Reduced time-to-credential and time-to-payer-ready for new providers and existing providers in expansion states
Accurate, audit-ready credentialing and licensure records at all times
100% compliance with state, federal, and payer credentialing requirements
Scalable credentialing workflows that support rapid growth and geographic expansion
Track vendor performance against defined SLAs
Clear executive-level reporting on credentialing status, risks, and mitigation plans
About AnswersNow
At AnswersNow, we are trailblazing the future of autism therapy, making it more immediate, accessible, and effective for families everywhere. Our innovative virtual ABA therapy platform is thoughtfully designed by clinicians to recreate the focused, supportive environment of in-person therapy, complete with distraction-free features and interactive activities that enhance engagement and progress.
Our team operates fully remotely—meaning you’ll have the flexibility to work from home, and will never have to report on-site to provide client support. If you're ready to make a meaningful impact and join a team that's reshaping autism therapy, we’d love to hear from you!
Job Details
Full-Time (W2)
95k - 120k per year
Fully remote – work from anywhere in the U.S.
Flexible hours with an async-friendly team culture
Job Requirements
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
Preferred Qualifications
Experience supporting multi-state provider organizations or rapid geographic expansion
Experience with telehealth services as it relates to cross-state licensure/credentialing
Strong background in Medicaid credentialing and state-specific licensing requirements
Experience in delegated credentialing environments
Experience working in high-growth, technology-enabled healthcare organizations
High level of organization, attention to detail, and ability to manage competing priorities
Familiarity with workflow automation, system integrations, or custom internal platforms
What You’ll Do
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
Similar jobs
Found 6 similar jobs