Director of Credentialing (Remote)
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Job Location:
La Mirada, CA - USA
Yearly Salary:
$ 120000 - 120000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Join Our Team at Skin and Cancer Institute!
Are you passionate about dermatology and skin health Do you thrive in a dynamic patient-focused environment Skin and Cancer Institute is looking for dedicated professionals to join our team!
Why Join Us
At Skin and Cancer Institute we are committed to excellence in dermatology skin cancer treatment and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact.
Position Summary
Reports to: RCM Director / CEO
The Director of Credentialing at Skin and Cancer Institute is responsible for leading and managing all aspects of provider credentialing payer enrollments and delegated credentialing agreements. This role ensures compliance with regulatory standards payer requirements and internal policies across a multi-site dermatology practice. The position is inclusive of qualified individuals with spinal cord injuries (SCI) with reasonable accommodation provided to support success.
What Youll Do:
Credentialing & Enrollment Management
- Oversee the credentialing and re-credentialing of dermatologists nurse practitioners and other clinical staff.
- Manage payer enrollment processes including Medicare Medicaid and commercial insurance plans.
- Ensure timely and accurate submission of applications verifications and updates using platforms such as CAQH PECOS and Availity.
- Maintain records and documentation in credentialing software systems.
- Monitor expirations of licenses certifications and malpractice insurance.
Delegated Credentialing Oversight
- Administer delegated credential agreements with payers and ensure full compliance with contractual obligations.
- Coordinate audits reporting and corrective actions related to delegated credentialing.
- Serve as the primary contact for payer credentialing departments and regulatory bodies.
Leadership & Team Development
- Supervise credentialing staff providing guidance training and performance evaluations.
- Develop and implement credentialing policies workflows and standard operating procedures.
- Collaborate with HR Compliance and Revenue Cycle teams to align credentialing with onboarding and billing processes.
Process Improvement & Strategic Planning
- Identify and implement process improvements to enhance efficiency and accuracy.
- Lead initiatives to automate credentialing workflows and integrate systems.
- Track and report key performance indicators (KPIs) to executive leadership.
What Were Looking For:
REQUIRED SKILLS / ABILITIES
- In-depth knowledge of credentialing payer enrollment and delegated credentialing processes.
- Proficiency in credentialing platforms (e.g. CAQH PECOS ModMed Availity).
- Strong leadership organizational and communication skills.
- Ability to manage multiple priorities and meet deadlines.
- Commitment to inclusive practices and accessibility.
EDUCATION & EXPERIENCE
- Bachelors degree in healthcare administration Business or related field (masters preferred).
- 5 years of experience in credentialing and enrollment with 2 years in a leadership role.
- Experience managing delegated credential agreements and audits.
- Familiarity with NCQA standards and CMS guidelines.
What We Offer:
- Competitive salary and benefits
- Health dental vision and ancillary insurance options
- 401K retirement savings
- Paid time off
- Professional development opportunities
- Supportive and fair work environment
Apply Today!Be a part of a dynamic team thats transforming skin health. Submit your resume and cover letter to We cant wait to meet you!
#HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring
Required Experience:
Director
Key Skills
- Crisis Management
- Marketing
- Public Relations
- Fundraising
- Media Relations
- Constant Contact
- Strategic Planning
- Social Media Management
- Team Management
- Public Speaking
- Wordpress
- Writing Skills
