Director of Credentialing & Provider Enrollment

Overview:We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:Competitive compensation packageOutstanding work life balanceHealth, vision, and dental benefits401K plan matchLife insurance (100% company paid)PTO and paid holidaysWe invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.About the role: The Director of Credentialing & Provider Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all credentialing, recredentialing, and payer enrollment processes across a specialty physician practice. This role ensures timely provider onboarding, regulatory compliance, and optimized payer participation to support revenue cycle performance and patient access.The Director will lead a credentialing and enrollment team, standardize workflows, and collaborate cross-functionally with Revenue Cycle, Compliance, Legal, Medical Staff, and Operations to ensure efficient provider lifecycle management.This role also plays a critical part in minimizing revenue leakage tied to enrollment delays and credentialing errors, particularly in specialty care environments with complex payer rules and procedure-based billing.Responsibilities:Direct the full lifecycle of provider credentialing including initial credentialing, recredentialing, privileging support, and terminations/deactivationsEnsure compliance with NCQA, CMS, and state-specific requirements. And Specialty board certification and privileging standardsOversee primary source verification processes including licensure, DEA, board certification, education, training, malpractice history, sanctions (OIG/SAM)Establish and maintain credentialing timelines and SLAs (e.g., <90 days for enrollment readiness)Implement audit-ready credentialing files and documentation standardsLead all provider enrollment activities across Medicare, Medicaid, and commercial payersManage complex enrollment scenarios, multi-state licensure and payer requirements.Oversee CAQH, PECOS, NPPES maintenance and accuracyCoordinate with contracting to ensure alignment betweenMaintain payer relationships to resolve enrollment issues and expedite approvalsDesign and maintain end-to-end credentialing workflows tailored for specialty practicesBuild scalable credentialing and enrollment infrastructureImplement automation or credentialing software tools where applicableLead, mentor, and develop credentialing and enrollment staffDemonstrate and promote a work culture committed to UVVC’s Core Values: understanding, nurturing, ingenuity, trust, excellence, and diversity.Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.Qualifications:Bachelor's degree in Finance, Accounting, Healthcare Administration, Business or similar field preferred.8-10 years of work experience in credentialing and provider enrollment, managed care, healthcare operations or related area.Strong industry acumen of payor business models and how innovations in healthcare will impact the future of reimbursement.Demonstrated experience building programs or operational processes from scratch.Strong analytical and communication skills.Dependable; able to meet reliable attendance and punctuality standards.About us: UVVC, is a leading provider of comprehensive vein and vascular care with over 45 clinics across Arizona, Chicago, Colorado, Florida, Georgia, Texas, and expanding. Our mission is to revolutionize vascular care by delivering an all-inclusive clinic experience that addresses every aspect of lower extremity vein, vascular, and wound conditions.United Vein & Vascular Centers (UVVC) is distinguished by its innovative approach to diagnosing and treating a variety of vascular conditions that affect the pelvis and lower extremities. With a team of committed specialists, cutting-edge medical technology, and a patient-centric approach that emphasizes minimally invasive procedures, UVVC ensures superior care and optimal outcomes for it’s patients.