About The Position
A fast-growing healthcare company expanding nationwide is hiring a Director of Payer Contracting & Credentialing to bring its contracting process in-house. The role ensures each new state launch is licensed, credentialed, and contracted so the company can serve patients and receive payment from day one. The position involves building systems and coordinating multiple workstreams in a fast-moving, growing company. The Director will lead licensing, Medicaid enrollment, provider registration, and payer contracting for new states; establish repeatable launch processes; oversee compliance, renewals, and re-credentialing; and serve as the primary contact for payer representatives and state agencies. The role will also bring work currently handled by a third-party vendor in-house and build and lead a small contracting team as the company grows.
Requirements
- At least 2 years of experience in payer contracting, credentialing, or provider enrollment in healthcare.
- Experience with Medicaid and managed care plans.
- Strong organization, attention to detail, and follow-through.
- Proactive approach and comfort working in a fast-moving, growing company.
Nice To Haves
- Multi-state experience.
- Paralegal or healthcare compliance background.
Responsibilities
- Lead licensing, Medicaid enrollment, and provider registration for each new state.
- Gather and submit required documents, including insurance certificates, licenses, tax forms, policies, and accreditation materials.
- Build a repeatable state-launch playbook to make each new state launch faster.
- Apply to and contract with Medicaid managed care plans and other payers.
- Review contract terms, negotiate rates, and take applications through approval.
- Work with legal, billing, and leadership on contract decisions.
- Maintain a central tracker of licenses, contracts, credentials, and expiration dates.
- Manage renewals and re-credentialing ahead of deadlines to prevent payment interruptions.
- Bring contracting work in-house from the current third-party vendor and establish internal processes.
- Serve as the main point of contact for payer representatives and state agencies.
- Resolve contracting issues that affect claims or payments.
- Build and lead a small contracting team as the company grows.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
