Director of Credentialing & Provider Enrollment at United Vein & Vascular Centers

<p></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong>Overview:</strong></span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong>We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:</strong></span></p> <ul> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Competitive compensation package</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Outstanding work life balance</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Health, vision, and dental benefits</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">401K plan match</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Life insurance (100% company paid)</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">PTO and paid holidays</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.</span></li> </ul> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong>About the role:&nbsp;</strong></span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;">The Director of Credentialing &amp; Provider Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all credentialing, recredentialing, and payer enrollment processes across a specialty physician practice. This role ensures timely provider onboarding, regulatory compliance, and optimized payer participation to support revenue cycle performance and patient access.</span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;">The Director will lead a credentialing and enrollment team, standardize workflows, and collaborate cross-functionally with Revenue Cycle, Compliance, Legal, Medical Staff, and Operations to ensure efficient provider lifecycle management.</span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;">This role also plays a critical part in minimizing revenue leakage tied to enrollment delays and credentialing errors, particularly in specialty care environments with complex payer rules and procedure-based billing.</span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong>Responsibilities:</strong></span></p> <ul> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Direct the full lifecycle of provider credentialing including initial credentialing, recredentialing, privileging support, and terminations/deactivations</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Ensure compliance with NCQA, CMS, and state-specific requirements. And Specialty board certification and privileging standards</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Oversee primary source verification processes including licensure, DEA, board certification, education, training, malpractice history, sanctions (OIG/SAM)</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Establish and maintain credentialing timelines and SLAs (e.g., &lt;90 days for enrollment readiness)</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Implement audit-ready credentialing files and documentation standards</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Lead all provider enrollment activities across Medicare, Medicaid, and commercial payers</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Manage complex enrollment scenarios, multi-state licensure and payer requirements.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Oversee CAQH, PECOS, NPPES maintenance and accuracy</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Coordinate with contracting to ensure alignment between</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Maintain payer relationships to resolve enrollment issues and expedite approvals</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Design and maintain end-to-end credentialing workflows tailored for specialty practices</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Build scalable credentialing and enrollment infrastructure</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Implement automation or credentialing software tools where applicable</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Lead, mentor, and develop credentialing and enrollment staff</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Demonstrate and promote a work culture committed to UVVC’s Core Values: understanding, nurturing, ingenuity, trust, excellence, and diversity.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.</span></li> </ul> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong>Qualifications:</strong></span></p> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong></strong></span></p> <ul> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Bachelor's degree in Finance, Accounting, Healthcare Administration, Business or similar field preferred.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">8-10 years of work experience in credentialing and provider enrollment, managed care, healthcare operations or related area.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Strong industry acumen of payor business models and how innovations in healthcare will impact the future of reimbursement.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Demonstrated experience building programs or operational processes from scratch.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Strong analytical and communication skills.</span></li> <li style="font-family: georgia, palatino, serif; font-size: 12pt;"><span style="font-family: georgia, palatino, serif; font-size: 12pt;">Dependable; able to meet reliable attendance and punctuality standards.</span></li> </ul> <p><span style="font-family: georgia, palatino, serif; font-size: 12pt;"><strong></strong></span></p> <p>&nbsp;</p> <p>&nbsp;</p> <p></p><div class="content-conclusion"><p><span style="font-size: 12pt; font-family: georgia, palatino, serif;"><strong>About us:&nbsp;&nbsp;</strong></span></p> <p><span style="font-size: 12pt; font-family: georgia, palatino, serif;">UVVC, is a leading provider of comprehensive vein and vascular care with over 60 clinics across Arizona, Illinois, Colorado, Florida, Georgia, Texas, and expanding. Our mission is to revolutionize vascular care by delivering an all-inclusive clinic experience that addresses every aspect of lower extremity vein, vascular, and wound conditions.&nbsp;</span></p> <p><span style="font-size: 12pt; font-family: georgia, palatino, serif;">United Vein &amp; Vascular Centers (UVVC) is distinguished by its innovative approach to diagnosing and treating a variety of vascular conditions that affect the pelvis and lower extremities. With a team of committed specialists, cutting-edge medical technology, and a patient-centric approach that emphasizes minimally invasive procedures, UVVC ensures superior care and optimal outcomes for it’s patients. &nbsp;</span></p> <p>&nbsp;</p></div>