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Keywords: Director, Provider Credentialing & Enrollment (NCQA), Location: USA

Page: 1

Director, Provider Credentialing & Enrollment (NCQA)

of providers Job Description Reporting to the AVP of Credentialing, the Director, Credentialing and Enrollment is responsible... and communication with Market Presidents is a key success factor. Job Duties: Oversee all aspects of Provider Credentialing...

Company: Privia Health
Location: USA
Posted Date: 11 Dec 2025
Salary: $120000 - 135000 per year

Provider Enrollment & Credentialing Rep

Reports to the Manager, Provider Enrollment & Credentialing. Responsible for the timely completion of initial and re... for provider and facility credentialing. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health...

Location: Granger, IN
Posted Date: 22 Oct 2025

Provider Credentialing and Onboarding Coordinator

basis. Implement and maintain credentialing software. 12 Processes day-to-day WVUHS Insurance Provider Enrollment requests... Insurance Provider Enrollment as contracted. 14. Presents provider credentialing and onboarding status report in designated...

Company: WVU Medicine
Location: USA
Posted Date: 08 Nov 2025

Director of Credentialing

, and a positive provider experience. The Director oversees credentialing staff, manages key external vendor relationships, maintains... for all credentialing, recredentialing, privileging, and provider enrollment activities. Build, lead, and mentor a high-performing...

Location: Denver, CO
Posted Date: 08 Dec 2025
Salary: $115000 - 130000 per year

Credentialing Specialist - Remote

and Responsibilities: Oversee all aspects of Provider Credentialing and Payer Enrollment with third party payers and hospital / health... for our providers and employees. Purpose: Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing...

Location: USA
Posted Date: 12 Dec 2025
Salary: $48152 - 64917 per year

Credentialing Representative 2 (HYBRID)

provider customers during initial credentialing, privilege delineation (as applicable), reappointment activities, malpractice...Job Category: Clinical_Support Job Description: The Credentialing Specialist is responsible for credentialing...

Posted Date: 26 Nov 2025

Credentialing Coordinator

and NCQA for delegated credentialing standards. Responsibilities and Essential Job Functions Coordinates gathering... processes to adhere to regulatory requirements relating to credentialing and privileging. Works in collaboration with provider...

Posted Date: 26 Nov 2025

Sr Mgr Credentialing

and transparent reporting to the Director of Credentialing. Cross-Functional Collaboration Coordinates provider onboarding... of management or supervisory experience in credentialing, provider enrollment, or related functions. Operational Expertise: Deep...

Company: PDS Health
Location: Irving, TX
Posted Date: 23 Nov 2025
Salary: $117000 - 153000 per year

Credentialing Specialist

for Committee Review Track provider updates and changes in accordance with all payer credentialing guidelines and NCQA standards... management team with any issues pertaining to credentialing and provider payer enrollment Participates in Health Plan meetings...

Company: Rendr
Location: New York City, NY
Posted Date: 18 Oct 2025

Director of Telehealth Clinical Operations

licensure, credentialing/enrollment, CPOM compliance, and practice policies are embedded in system setup and workflows. Stand...-on Director of Telehealth Clinical Operations to lead and scale the clinical operational infrastructure that powers Everlywell...

Company: Everlywell
Location: Austin, TX
Posted Date: 13 Dec 2025

Director of Telehealth Clinical Operations

licensure, credentialing/enrollment, CPOM compliance, and practice policies are embedded in system setup and workflows. Stand...-on Director of Telehealth Clinical Operations to lead and scale the clinical operational infrastructure that powers Everlywell...

Company: Everly Health
Location: Austin, TX
Posted Date: 12 Dec 2025

Director of Medical Staff

. This position is responsible for the credentialing and privileging processes, the enrollment processes and all other identified..., compliant credentialing and enrollment processes to best support clinical care This position does not provide patient care...

Company: Renown Health
Location: Reno, NV
Posted Date: 08 Nov 2025

Associate Medical Director - Rural Health Services

Chiropractor and Acupuncture visits per year included with enrollment in our health insurance plans (Kaiser and WHA) Dental... Supervision and Management: Ensures provider competency in the delivery of high-quality clinical care. Conducts physician...

Posted Date: 17 Sep 2025

Nurse Practitioner - Home Based Medical Care - Warren County, IA area

how rewarding medicine can be while Caring. Connecting. Growing together. Works as a provider member within the HBMC... and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients...

Location: Indianola, IA
Posted Date: 07 Dec 2025
Salary: $104500 - 156000 per year

Nurse Practitioner Statewide Traveler, Alabama In-Home Visits

. Position in these functions works as a provider member within the HBMC interdisciplinary team in the direct delivery of home... plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the...

Location: Hoover, AL
Posted Date: 04 Dec 2025
Salary: $89900 - 160600 per year

Full Time Nurse Practitioner or Physician Assistant - Home Based Medical Care - Montgomery County, OH

or intermittent basis. Primary Responsibilities: Works as a provider member within the HBMC interdisciplinary team in the direct..., and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care...

Location: Dayton, OH
Posted Date: 26 Nov 2025
Salary: $104500 - 156000 per year

Full Time Nurse Practitioner or Physician Assistant - Home Based Medical Care - Montgomery County, OH

as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population... interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop...

Location: Dayton, OH
Posted Date: 25 Nov 2025
Salary: $104500 - 156000 per year

Nurse Practitioner - Home Based Medical Care Statewide Traveler - GA

as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population..., HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health...

Location: Atlanta, GA
Posted Date: 12 Oct 2025
Salary: $89900 - 160600 per year

Nurse Practitioner - Home Based Medical Care Statewide Traveler - GA

how rewarding medicine can be while Caring. Connecting. Growing together. Position in these functions works as a provider member... interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop...

Location: Atlanta, GA
Posted Date: 11 Oct 2025
Salary: $89900 - 160600 per year

Nurse Practitioner Statewide Traveler, Alabama In-Home Visits

. Position in these functions works as a provider member within the HBMC interdisciplinary team in the direct delivery of home... plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the...

Location: Hoover, AL
Posted Date: 07 Oct 2025
Salary: $89900 - 160600 per year