Director of Credentialing, Licensing & Payer Enrollment at AnswersNow

, , United States -

Full Time

Start Date

Immediate

Expiry Date

28 Mar, 26

Salary

120000.0

Posted On

28 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Licensing, Payer Enrollment, Contracts Administration, Healthcare Reimbursement, Managed Care Contracting, Vendor Management, Team Leadership, Data-Driven Reporting, Workflow Automation, Telehealth Services, Medicaid Credentialing, State-Specific Licensing, Cross-State Licensure, Attention to Detail, Organizational Skills

Industry

Individual and Family Services

Description

Director of Credentialing, Licensing & Payer Enrollment (Full-Time/ W2) Remote, Anywhere in the US About the Role The Director of Provider Credentialing, Licensing & Payer Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all provider credentialing, re-credentialing, payer enrollment, contracting coordination, and licensure activities across all AnswersNow business entities. This is a high-visibility leadership role critical to enabling timely provider onboarding, multi-state expansion, and revenue generation. The Director ensures that providers and groups are credentialed, contracted, and licensed accurately and on time so that services may be delivered, billed, and reimbursed without delay. This role leads the credentialing team, manages external vendors, partners cross-functionally with RCM, growth, operations, scheduling, and technology teams, and delivers clear, data-driven reporting to executive leadership. Key Outcomes & Success Metrics Reduced time-to-credential and time-to-payer-ready for new providers and existing providers in expansion states Accurate, audit-ready credentialing and licensure records at all times 100% compliance with state, federal, and payer credentialing requirements Scalable credentialing workflows that support rapid growth and geographic expansion Track vendor performance against defined SLAs Clear executive-level reporting on credentialing status, risks, and mitigation plans About AnswersNow At AnswersNow, we are trailblazing the future of autism therapy, making it more immediate, accessible, and effective for families everywhere. Our innovative virtual ABA therapy platform is thoughtfully designed by clinicians to recreate the focused, supportive environment of in-person therapy, complete with distraction-free features and interactive activities that enhance engagement and progress. Our team operates fully remotely—meaning you’ll have the flexibility to work from home, and will never have to report on-site to provide client support. If you're ready to make a meaningful impact and join a team that's reshaping autism therapy, we’d love to hear from you! Job Details Full-Time (W2) 95k - 120k per year Fully remote – work from anywhere in the U.S. Flexible hours with an async-friendly team culture Job Requirements Bachelor’s degree or equivalent healthcare experience in credentialing, provider enrollment, or contracts administration 3–5+ years of progressive experience in provider credentialing, payer enrollment, or payor relations within an insurance company, hospital system, or large provider group Demonstrated experience leading teams and/or managing vendors Strong working knowledge of healthcare reimbursement, managed care contracting, and payer enrollment processes Proficiency with credentialing systems, payer portals, and reporting tools Preferred Qualifications Experience supporting multi-state provider organizations or rapid geographic expansion Experience with telehealth services as it relates to cross-state licensure/credentialing Strong background in Medicaid credentialing and state-specific licensing requirements Experience in delegated credentialing environments Experience working in high-growth, technology-enabled healthcare organizations High level of organization, attention to detail, and ability to manage competing priorities Familiarity with workflow automation, system integrations, or custom internal platforms What You’ll Do Lead, coach, and develop the Credentialing & Licensing team Design and implement scalable credentialing and enrollment workflows Partner closely with Provider Onboarding and Growth teams to ensure all required documentation is collected promptly and credentialing is initiated without delay Oversee the review and validation of practitioner applications Own payer enrollment and credentialing activities and coordinate payer contracting submission Own credentialing systems, vendors, and tools including CAQH, NPPES, payer portals, and internal platforms Provide regular executive-level updates on credentialing performance, priorities, and operational risks

Responsibilities

The Director will lead the credentialing team and oversee all provider credentialing, licensing, and payer enrollment activities. This includes ensuring compliance with requirements and delivering clear reporting to executive leadership.