Director of Payer Contracting & Credentialing

Director of Payer Contracting & Credentialing | Brooklyn, NY $100,000 $150,000

About the Role

A fast-growing healthcare company is expanding nationwide and opening in new states at a rapid pace. It needs a Director of Payer Contracting & Credentialing to own the contracting process in-house. This person will make sure every new state launch is licensed, credentialed and contracted, so the company can serve patients and get paid from day one. It s a high-impact leadership role for an innovative, energetic and highly responsible professional who likes building systems and keeping a lot of moving pieces on track.

New State Expansion

Lead licensing, Medicaid enrollment and provider registration for each new state

Gather and submit all required documents, including insurance certificates, licenses, tax forms, policies and accreditation

Build a repeatable launch playbook so each new state opens faster than the last

Payer Contracting

Apply to and contract with Medicaid managed care plans and other payers

Review contract terms, negotiate rates and take every application through to approval

Work with legal, billing and leadership on contract decisions

Compliance & Renewals

Keep a central tracker of every license, contract, credential and expiration date

Manage renewals and re-credentialing ahead of deadlines so payments are never interrupted

Bring this work in-house from the current third-party vendor and build internal processes

Relationships & Leadership

Be 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

Qualifications

2+ years of experience in payer contracting, credentialing or provider enrollment in healthcare

Experience with Medicaid and managed care plans; multi-state experience is a plus

Highly organized and detail-oriented, with strong follow-through

Upbeat, proactive and comfortable in a fast-moving, growing company

Paralegal or healthcare compliance background is a plus

Interested? Send your resume to [email protected].