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USA Clinics Group

Integrated ambulatory care network of clinics

Director of Credentialing

Clerical & Data EntryConfirmed live in the last 24 hours
Full-timeNorthbrook, IL, USA

About the Job

Requirements

  • A bachelor's degree in Healthcare Administration, Business Administration, or a related field is required.
  • At least 7 years of credentialing and payer enrollment experience, including at least 3 years in a leadership role, is required.
  • Extensive knowledge of provider credentialing, payer enrollment, CAQH, recredentialing, and regulatory compliance requirements is required.
  • Experience managing multi-state provider credentialing operations and onboarding programs is required.
  • Proven success leading department improvements, workflow standardization, and operational scalability initiatives is required.

Responsibilities

  • Oversee provider credentialing, payer enrollment, recredentialing, and compliance activities across the organization.
  • Develop and monitor credentialing key performance indicators, provider onboarding timelines, enrollment aging reports, and department performance metrics.
  • Lead initiatives to improve provider onboarding speed, enrollment accuracy, and regulatory compliance.
  • Establish standardized credentialing processes, standard operating procedures, and quality assurance measures across all markets.
  • Partner with operations, recruiting, compliance, and clinical leadership to support provider onboarding and expansion initiatives.
  • Lead credentialing system improvements, vendor management, and department optimization projects.
  • Serve as the strategic operational leader responsible for credentialing efficiency, scalability, and compliance.
  • Implement artificial intelligence-powered provider onboarding workflows to reduce credentialing turnaround times.
  • Develop automated license, certification, and recredentialing tracking systems.
  • Use artificial intelligence to analyze enrollment bottlenecks and identify process improvement opportunities.
  • Lead adoption of automation tools that streamline payer enrollment, document management, and compliance reporting.

About the Company

USA Clinics Group

Integrated ambulatory care network of clinics

USA Clinics Group operates over 160 outpatient clinics across the United States, housing specialized centers such as USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Pain Center, USA Prostate Centers, USA Oncology Centers, USA Hemorrhoid Centers, and USA Longevity Centers. Their team of interventional radiologists and vascular surgeons offers minimally invasive treatments for conditions like varicose veins, uterine fibroids, peripheral artery disease, hemorrhoids, enlarged prostate, knee osteoarthritis, and liver cancer in outpatient settings. Care is delivered through coordinated patient-centered care paths that guide patients from diagnosis to treatment across the network. The goal is to provide safe, effective, and compassionate care that improves patients’ quality of life.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Northbrook, IL
Founded
2005

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