Director of Contracting and Provider Enrollment

HealthOp Solutions

6d • Remote

About The Position

The Director of Contracting and Provider Enrollment will oversee a portfolio of healthcare clients and ensure provider enrollment, payer contracting, credentialing, and related client deliverables are completed accurately, efficiently, and on time. This is a hands-on leadership role for someone who can manage multiple moving parts while still staying close to the details. In this position, you will manage approximately 10 clients at a time, keeping projects organized, timelines visible, and client communication clear. You will serve as the primary operational lead for client accounts, ensuring requests are prioritized appropriately, payer issues are escalated when needed, and the internal credentialing team has the direction and support needed to execute well. This is not a business development role. The focus is client management, project execution, contracting and enrollment oversight, team leadership, and quality control. That said, there is an additional bonus opportunity for someone who brings an existing book of business or qualified referrals. Because this is a billable-time position, the right person will be comfortable tracking time, managing deliverables, communicating proactively, and balancing responsiveness with accuracy. This role is best suited for someone who is highly professional, organized, independent, strategic, and able to handle volume without sacrificing precision.

Requirements

• Proven experience in healthcare provider enrollment, payer contracting, credentialing, or a closely related administrative healthcare function.
• Experience managing multiple client accounts, projects, or complex operational workflows at the same time.
• Prior project management experience with the ability to organize timelines, deliverables, stakeholders, and follow-up.
• Experience overseeing, leading, or mentoring credentialing, enrollment, or administrative team members.
• Strong understanding of payer enrollment processes, contracting workflows, provider documentation, and credentialing requirements.
• Ability to work independently in a fully virtual environment with strong accountability and communication.
• High level of professionalism, discretion, and accuracy when handling client and provider information.
• Comfortable working in a billable-time environment and documenting time/work clearly.
• Must be able to maintain a flexible full-time schedule under either a 4x10 or 5x8 structure.
• Must be comfortable in a W2 role with no traditional benefits package currently offered.

Nice To Haves

• Experience working in a provider-side, consulting, MSO, credentialing, RCM, or healthcare services environment.
• Experience managing 8–10+ client accounts or high-volume provider enrollment projects at one time.
• Familiarity with CAQH, payer portals, credentialing databases, provider enrollment applications, and tracking systems.
• Background supporting multi-state provider enrollment, payer contracting, delegated credentialing, or group practice growth.
• Experience building or improving workflows, templates, tracking tools, and client reporting processes.
• Prior leadership experience in a small-team environment where the role required both strategic oversight and hands-on execution.
• Existing referral relationships or a book of business within healthcare contracting, credentialing, or provider enrollment services is a plus and may qualify for additional bonus consideration.

Responsibilities

• Manage a portfolio of multiple healthcare clients, with responsibility for timelines, deliverables, communication, and account satisfaction.
• Oversee provider enrollment, payer contracting, credentialing, recredentialing, and related administrative workflows.
• Lead, support, and provide direction to a team of two credentialers.
• Monitor client priorities, open tasks, payer follow-ups, documentation needs, and project status across approximately 10 active clients.
• Serve as a client-facing point of contact for contracting and provider enrollment questions, updates, escalations, and project planning.
• Review work for accuracy, completeness, and compliance with payer, client, and internal process requirements.
• Coordinate with payers, provider groups, client contacts, and internal team members to resolve enrollment or contracting delays.
• Maintain organized tracking tools, status reports, documentation, and client records.
• Prioritize competing requests while ensuring urgent items, deadlines, and client expectations are handled appropriately.
• Track billable time accurately and manage work in alignment with client service expectations.
• Identify process gaps, workflow issues, and opportunities to improve efficiency, quality, and accountability.
• Support strategic client conversations related to contracting, enrollment status, credentialing workflow, and operational next steps.

Benefits

• Unlimited PTO
• Annual bonus based on performance and profit sharing
• Additional bonus opportunity for bringing an existing book of business or qualified referrals

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed