Director of Credentialing (Remote) - Skin and Cancer Institute : Job Details

Director of Credentialing (Remote) at Skin And Cancer Institute

Skin And Cancer Institute is seeking a Director of Credentialing to lead and manage all aspects of provider credentialing, payer enrollments, and delegated credentialing agreements across a multi-site dermatology practice. This role ensures compliance with regulatory standards, payer requirements, and internal policies. The position supports qualified individuals with spinal cord injuries (SCI), with reasonable accommodation provided to support success.

• Credentialing & Enrollment ManagementOversee the credentialing and re-credentialing of dermatologists, nurse practitioners, and other clinical staff; manage payer enrollment processes including Medicare, Medicaid, and commercial insurance plans; ensure timely and accurate submission of applications, verifications, and updates using CAQH, PECOS, Availity; maintain records in credentialing software systems; monitor expirations of licenses, certifications, and malpractice insurance.
• Delegated Credentialing OversightAdminister delegated credential agreements with payers and ensure full compliance with contractual obligations; coordinate audits, reporting, and corrective actions; serve as the primary contact for payer credentialing departments and regulatory bodies.
• Leadership & Team DevelopmentSupervise credentialing staff, provide guidance and training, develop and implement credentialing policies, workflows, and standard operating procedures; collaborate with HR, Compliance, and Revenue Cycle teams to align credentialing with onboarding and billing processes.
• Process Improvement & Strategic PlanningIdentify and implement process improvements to enhance efficiency and accuracy; lead initiatives to automate credentialing workflows and integrate systems; track and report KPIs to executive leadership.

• In-depth knowledge of credentialing, payer enrollment, and delegated credentialing processes.
• Proficiency in credentialing platforms (e.g., CAQH, PECOS, ModMed, Availity).
• Strong leadership, organizational, and communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Commitment to inclusive practices and accessibility.

• Bachelor's degree in healthcare administration, business, or related field (master's preferred).
• 5+ years of experience in credentialing and enrollment, with 2+ years in a leadership role.
• Experience managing delegated credential agreements and audits.
• Familiarity with NCQA standards and CMS guidelines.

• Competitive salary and benefits
• Health, dental, vision, and ancillary insurance options
• 401K retirement savings
• Paid time off
• Professional development opportunities
• Supportive and fair work environment

Apply today by submitting your resume and cover letter to [email protected]. We look forward to meeting you!