Director Of Credentialing
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Overview
Job Description
Why USA Clinics Group?
Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.
We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you!
Why You'll Love Working with us:
🚀 Rapid career advancement 💼 Competitive compensation package
🤝 Positive, team-oriented environment 🏥 Work with cutting-ed technology
🌟 Make a real impact on patients’ lives 📈 Join a fast-growing, mission-driven company
Position Summary:
The Director of Credentialing provides strategic oversight of provider credentialing, payer enrollment, compliance, and onboarding operations. This role leads department performance, process standardization, AI-driven efficiencies, and initiatives that support organizational growth and scalability.
Position Details:
- Location: Northbrook, IL
- Schedule: Full-time, Monday through Friday on-site.
- Compensation: $90,000 - $115,000
Key Responsibilities
- Oversee all provider credentialing, payer enrollment, recredentialing, and compliance activities across the organization.
- Develop and monitor credentialing KPIs, provider onboarding timelines, enrollment aging reports, and department performance metrics.
- Lead initiatives to improve provider onboarding speed, enrollment accuracy, and regulatory compliance.
- Establish standardized credentialing processes, SOPs, and quality assurance measures across all markets.
- Partner with operations, recruiting, compliance, and clinical leadership to support provider onboarding and expansion initiatives.
- Lead credentialing system improvements, vendor management, and department optimization projects.
- Serve as the strategic operational leader responsible for credentialing efficiency, scalability, and compliance.
AI & Automation Responsibilities
- Implement AI-powered provider onboarding workflows to reduce credentialing turnaround times.
- Develop automated license, certification, and recredentialing tracking systems.
- Utilize AI to analyze enrollment bottlenecks and identify process improvement opportunities.
- Lead adoption of automation tools that streamline payer enrollment, document management, and compliance reporting.
Requirements
Minimum Requirements
- Bachelor’s degree in Healthcare Administration, Business Administration, or related field required.
- Minimum 7 years of credentialing and payer enrollment experience, with at least 3 years in a leadership role.
- Extensive knowledge of provider credentialing, payer enrollment, CAQH, recredentialing, and regulatory compliance requirements.
- Experience managing multi-state provider credentialing operations and onboarding programs.
- Proven success leading department improvements, workflow standardization, and operational scalability initiatives.
Benefits
- Health
- Dental
- Vision
- 401k & Match
- Paid time off
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
