Director, Credentials Verification Office
About The Position
The Director leads the Credentials Verification Organization (CVO) for UVA Health and its affiliated entities. The Director oversees the systems, processes, and staff responsible for primary source verification, credentialing support services, and provider onboarding functions related to credentialing and privileging. The Director manages department operations and ensures credentialing activities are accurate, timely, and compliant with regulatory and accreditation requirements. The role includes developing systems and workflows that support organizational priorities and strengthen coordination across UVA Health. This position partners closely with Medical Staff Offices, Revenue Cycle, and operational teams to support provider onboarding, credentialing verification, and managed care credentialing functions across the health system. The Director also supports the continued development of centralized credentialing services to promote consistency, efficiency, and strong coordination across UVA Health.
Requirements
- Bachelor’s Degree or 4 years of equivalent experience.
- Minimum of five (5) years of experience in credentialing, medical staff services, or related healthcare operations.
- Demonstrated leadership and management ability.
- Knowledge of credentialing processes and verification practices.
- Experience with credentialing software and familiarity with related provider data platforms (e.g., Credential Stream, Kyruus, Epic, Workday)
- Familiarity with regulatory and accreditation standards.
- Strong organizational and analytical skills.
- Attention to detail and ability to manage multiple priorities.
- Effective written and verbal communication skills.
- Ability to work collaboratively with clinical and administrative stakeholders.
Nice To Haves
- NAMSS certification preferred:
- Certified Professional Medical Services Management (CPMSM)
- Certified Provider Credentialing Specialist (CPCS)
- At least two (2) years of management or supervisory experience preferred.
- Experience working in a health system, academic medical center, or multi-entity healthcare organization preferred.
Responsibilities
- Plans, implements, organizes, and directs the credentialing verification program
- Oversees operational performance and reporting
- Maintains operating documents and records
- Plans and manages departmental activities
- Manages meeting and communication processes
- CVO and Client Collaboration
- Ensures credentialing practices comply with regulatory agencies and accreditation standards.
- Monitors regulatory updates and incorporates changes into policies and procedures as needed.
- Provides education to staff regarding regulatory and accreditation requirements.
- Participates in internal audits, accreditation reviews, and regulatory surveys.
- Addresses audit findings and supports corrective actions when necessary.
- Recruits, trains, mentors, and evaluates credentialing staff.
- Promotes professional development and ongoing education within the team.
- Establishes a positive work environment that supports collaboration and accountability.
- Identifies opportunities to establish team leader roles within credentialing groups to support operational oversight and staff development.
- Supports career development pathways within the CVO to encourage growth and retention.
Benefits
- Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
- Paid Time Off, Long-term and Short-term Disability, Retirement Savings
- Health Saving Plans, and Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Manager
