Director of Credentialing and Enrollments (remote)

Das ist der Job

This is a remote/hybrid role.

Darum lohnt es sich

Lead, mentor, and scale a credentialing team to support onboarding volume and geographic expansion. Strong communication, project management, and team-building skills. Benefits W2 role with competitive compensation.

Role Overview The Director of Credentialing will lead our credentialing operations and be responsible for the timely and compliant onboarding of our clinician workforce across all markets.

This individual will manage the end-to-end credentialing lifecycle, ensure compliance with payer and regulatory requirements, and scale systems and processes to support rapid company growth. Responsibilities Make things easier. Forge genuine connections. Elevate the standard.

Oversee the full credentialing and recredentialing process for all W-2 clinicians across multiple states and payer networks. Develop and maintain credentialing policies and procedures aligned with NCQA, CMS, and state-specific guidelines. Manage payer enrollment processes, including delegated credentialing arrangements, and support related audits.

Partner with recruiting, clinical operations, legal and finance to ensure efficient onboarding workflows and regulatory compliance. Build and maintain credentialing data systems and dashboards for tracking, reporting and performance improvement.

Monitor regulatory changes and payer requirements to ensure continued compliance and proactive risk management. Represent the credentialing function in cross-functional and payer-facing meetings.

Qualifications Bachelor’s degree required; CPCS, CPMSM, or equivalent credentialing certification preferred. 7+ years of experience in healthcare credentialing, with at least 3 years in a leadership role. Strong knowledge of behavioral health credentialing and payer enrollment processes.

Experience with delegated credentialing relationships and managing audits. Familiarity with credentialing platforms such as Modio, MD-Staff, or similar systems. Ability to lead through scale, optimize systems, and build efficient, compliant workflows. Located in or willing to commute regularly to Salt Lake City, UT (hybrid schedule).

Medical, Dental and Vision on the first of the month after employment. Paid vacation, sick and holiday time. Employee Assistance Program (EAP) provides confidential counseling services, resources and support to help you navigate personal or professional challenges. 401(k) plan with company contribution.

Opportunity to work in a cutting‑edge healthcare technology environment. Professional development opportunities and training. Collaborative and supportive work culture. Impactful role contributing to enhancement of patient care and healthcare processes.

If you need any accommodations for your interview please email HR@headlight.health prior to scheduling. Not meeting all the requirements? Research indicates that women, communities of color, and historically underrepresented individuals are often hesitant to apply for jobs unless they meet every qualification.

We are committed to cultivating a diverse, inclusive, and genuine workplace. If you're enthusiastic about this position but your previous experience doesn't precisely match every qualification listed, we enthusiastically encourage you to submit your application. You could be the ideal candidate for this role or others!

Headlight is committed to the principles of diversity, equity, and inclusiveness and seeks to create a working environment reflective of this commitment. We seek to provide a diverse clinician base to support the diversity of our clients. Headlight supports and respects diversity of people, culture, and ideas throughout our organization.

Headlight thrives to be a welcoming, diverse and discrimination- and harassment-free workplace. By applying for this position, you consent to receive future communications from Headlight via email or text regarding this application and related employment opportunities. You may opt-out at any time by contacting us directly. #J-18808-Ljbffr