Director, Credentialing
About The Position
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The Director of Credentialing oversees the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department to develop and manage Providers for a multi-specialty, telehealth group across 7+ markets.
Requirements
- At least seven years' experience preferred as a Credentialing, Licensing, and/or Enrollment Specialist.
- At least five years’ experience preferred as a people manager of at least five team members.
- Previous experience managing functions in Verifiable and Athena.
- Have good working knowledge of guidelines and requirements of Licensure and Medicaid across several markets.
- Excellent communication skills with internal stakeholders at variable levels (including Executive Leadership).
- Strong organizational skills.
Responsibilities
- Manage staff that process New Provider Onboarding, Credentialing, Licensing, and Enrollment for multi-specialty providers (MD/DO, NP, PA, RN, RD, RPh, LCSW, LMFT, etc.).
- Develop and train on policies and procedures, workflows, and training documentation for the team to support successful day-to-day operations.
- Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.
- Analyze and prepare reports on status and trends in submitted applications, existing Licenses/Enrollments, and expirables for cross-functional leaders.
- Ensure department milestones, projects, deadlines, SLAs and objectives are met; manage team performance against SLAs actively.
- Manage Credentialing Committee including maintenance of Credentialing software and Provider Rosters to comply with Delegation requirements.
Benefits
- Competitive medical, dental, and vision insurance
- Healthcare and Dependent Care FSA; Company-funded HSA
- 401(k) with 4% match, vested 100% from day one
- Employer-paid short and long-term disability
- Life insurance at 1x annual salary
- 20 days PTO + 10 Company Holidays & 2 Floating Holidays
- Paid new parent leave
- Additional benefits to be detailed in offer
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
Number of Employees
101-250 employees
