Director of Credentialing and Compliance Operations

Aptive

92d

About The Position

We are seeking a Director of Credentialing and Compliance Operations to build, lead, and scale the credentialing infrastructure supporting the Integrated Critical Staffing Program (ICSP) — a nationwide healthcare staffing initiative with the Department of Veterans Affairs. This is a hands-on leadership role in a fast-paced, low-ego, high-output environment. The Director will oversee a distributed credentialing and compliance team, architect scalable workflows, and drive implementation of new technology solutions that elevate speed, accuracy, and regulatory compliance. We’re looking for a process-driven leader who thrives on building structure from complexity — someone who pairs strategic vision with operational precision and inspires teams to execute flawlessly under pressure.

Requirements

• 7+ years of experience in healthcare operations, credentialing, or compliance, including 3+ years leading teams or process improvement initiatives.
• Demonstrated success designing and implementing scalable, technology-driven workflows in a regulated environment.
• Deep understanding of Joint Commission, VA, NCQA, or comparable credentialing and compliance frameworks.
• Proven ability to direct and motivate a remote team in a fast-moving, high-accountability setting.
• Strong project management, analytical, and systems-thinking skills.
• Excellent written and verbal communication skills; able to convey complex requirements with clarity and authority.
• Experience leading change and fostering alignment across departments and stakeholders.

Nice To Haves

• Experience credentialing for federal healthcare contracts or the Department of Veterans Affairs.
• Familiarity with credentialing or workflow systems such as Symplr, iCIMS, HireRight, or HSH.
• Background in process automation, compliance technology, or operations modernization.
• Certifications such as CPCS, CPMSM, or Lean/Six Sigma highly desirable.

Responsibilities

• Lead a growing team of credentialing and compliance specialists across multiple task orders and healthcare disciplines.
• Set clear expectations and hold the team accountable for accuracy, speed, and follow-through.
• Build a culture of collaboration, clarity, and continuous improvement — where everyone leads with humility and delivers at a high level.
• Provide ongoing training and feedback to elevate team capability and autonomy.
• Architect, document, and refine credentialing workflows to ensure consistency, audit readiness, and scalability.
• Establish clear ownership models and checkpoints to minimize errors and eliminate redundancy.
• Translate strategic goals into detailed execution plans that align people, process, and technology.
• Collaborate with recruiting, HR, and IT to ensure seamless integration between credentialing, onboarding, and compliance functions.
• Maintain full organizational compliance with Joint Commission, VA, and internal credentialing standards.
• Develop and enforce internal QA/QC protocols to ensure error-free credentialing packets.
• Conduct internal audits, root-cause analyses, and corrective action planning to maintain audit readiness.
• Proactively identify compliance gaps and implement standardized solutions across contracts.
• Lead the integration and rollout of new credentialing systems and automation tools over the next 1–2 months.
• Map existing workflows, define data standards, and oversee change management to ensure successful adoption.
• Build dashboards and reporting mechanisms to track KPIs such as turnaround time, accuracy rate, and audit outcomes.
• Serve as the operational hub for all credentialing-related communication with internal leaders, suppliers, and government partners.
• Collaborate closely with program and project managers to align credentialing progress with contract deadlines.
• Support proposal and business development teams by advising credentialing feasibility, compliance risk, and implementation strategies.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees