Director of Credentialing (Remote)

Join Our Team at Skin and Cancer Institute! Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us? At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. Position Summary Reports to: RCM Director / CEO The Director of Credentialing at Skin and Cancer Institute is responsible for leading and managing all aspects of provider credentialing, payer enrollments, and delegated credentialing agreements. This role ensures compliance with regulatory standards, payer requirements, and internal policies across a multi-site dermatology practice. The position is inclusive of qualified individuals with spinal cord injuries (SCI), with reasonable accommodation provided to support success. What You’ll Do: Credentialing & Enrollment Management Oversee 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 platforms such as CAQH, PECOS, and Availity. Maintain records and documentation in credentialing software systems. Monitor expirations of licenses, certifications, and malpractice insurance. Delegated Credentialing Oversight Administer delegated credential agreements with payers and ensure full compliance with contractual obligations. Coordinate audits, reporting, and corrective actions related to delegated credentialing. Serve as the primary contact for payer credentialing departments and regulatory bodies. Leadership & Team Development Supervise credentialing staff, providing guidance, training, and performance evaluations. 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 Planning Identify and implement process improvements to enhance efficiency and accuracy. Lead initiatives to automate credentialing workflows and integrate systems. Track and report key performance indicators (KPIs) to executive leadership. What We’re Looking For: REQUIRED SKILLS / ABILITIES 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. EDUCATION & EXPERIENCE 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. What We Offer: 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!

Be a part of a dynamic team that’s transforming skin health. Submit your resume and cover letter to careers@skinusa.com. We can't wait to meet you! #HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring