Director Provider Enrollment

Key Responsibilities:

• Define and own the enterprise-wide strategy for payor contracting, credentialing, and licensing to support scalable growth across 50 states
• Serve as a key member of the leadership team, regularly engaging with C-suite executives to align on business goals, clinical partnerships, and market expansion strategy
• Design and implement a scalable operational infrastructure (people, process, technology) for contracting, credentialing, and licensing functions
• Lead contracting strategies to secure competitive terms with Commercial, Medicare Advantage, and Managed Medicaid plans, including Value-Based Care models
• Lead national and regional negotiations with health plans, managing relationships across multiple geographies and payor types
• Develop robust payor segmentation and targeting strategies based on value, access, and growth priorities
• Oversee contract lifecycle management, including pipeline development, rate analysis, renewals, escalations, and performance monitoring
• Establish consistent and compliant contract templates, reimbursement standards, and term guidelines in collaboration with legal and finance teams
• Serve as subject matter expert on health plan dynamics, market access trends, and reimbursement innovation
• Build and oversee a centralized team responsible for timely and accurate credentialing of providers and licensure across all 50 states and telehealth requirements
• Ensure regulatory and payor compliance across all provider enrollment and maintenance workflows
• Optimize systems, tools, and reporting to increase efficiency, reduce turnaround time, and proactively manage renewals and expirations
• Act as the enterprise liaison between growth, clinical operations, revenue cycle, compliance, and legal to ensure seamless alignment on contract execution and provider access
• Provide timely, data-driven updates and insights to executive leadership regarding network coverage, payor performance, credentialing timelines, and strategic risks/opportunities.
• Hire, lead, and mentor a high-performing team with expertise in payor contracting, credentialing, and regulatory compliance.
• Foster a mission-driven, inclusive culture focused on collaboration, accountability, and continuous improvement.

Required

• Education, knowledge and experience commensurate with a qualified individual to successfully fulfill the requirements and responsibilities of the role.
• 1015+ years of experience in healthcare payor contracting, credentialing, and licensing leadership roles.
• Proven track record negotiating provider contracts with national and regional payors (Commercial, MA, and Medicaid
• Proficient in Microsoft Office Suite (including strong excel skills)
• Proficiency with contract management systems and credentialing platforms.
• Ability to use independent judgment and to manage and impart confidential information.
• Ability to multi-task, manage priorities and meet critical deadlines.
• Prior leadership experience in high-growth, fast-paced healthcare organizations.

Interested candidate can send their resume on OfferArietisHealthTech@ArietisHealth.com

Contact: 742-899-1062