We are redirecting you to the source. If you are not redirected in 3 seconds, please click here.

Director, Credentialing and Enrollment at Foodsmart. Location Information: United States. Foodsmart is the largest telehealth network of registered dietitians in the country with a mission to make eating well simple.. Define and execute the strategic roadmap for credentialing and enrollment transitioning to a tech-enabled operation.. Lead and mentor the Credentialing & Enrollment team fostering detail-orientation and accountability.. Oversee end-to-end enrollment process for Medicare, Medicaid, and Commercial payers.. Act as primary liaison for contract activations meeting payer density and requirements.. Oversee initial and re-credentialing applications for registered dietitians.. Conduct ongoing monitoring of licensure, certifications via relevant databases.. Maintain and update provider records in the credentialing database.. Track license and certification expirations ensuring renewals.. Manage delegated credentialing agreements ensuring compliance with standards.. Lead audit activities ensuring compliance with NCQA, URAC, and CMS standards.. Act as operational bridge between Sales, Clinical Quality, and RCM.. Leverage data to identify bottlenecks and optimize processes using AI.. Lead internal Credentialing Committee ensuring flawless provider verifications.. Ensure compliance with applicable laws and regulations.. 7+ years in healthcare operations with 3+ years in a leadership role overseeing Credentialing and Payer Enrollment.. Proven track record in managing multi-state licensure and enrollment for a provider network.. Deep knowledge of NCQA standards, CMS regulations, and industry requirements.. Intermediate to advanced skills in Excel/Google Sheets and credentialing software.. Bachelor’s degree required; CPCS or CPMSM certification preferred.. Certified Provider Credentialing Specialist (CPCS) certification is a plus.. Familiarity with credentialing processes specific to registered dietitians.. Comfort with using AI to automate processes.. Knowledge of nutrition-related certifications and continuing education requirements.. Experience with Registered Dietitians and MNT billing.. Experience in a high-growth startup environment.. Pay range:. $140K - $150K. Remote-First Company. Flexible Unlimited PTO. Healthcare Coverage (Medical, Dental, Vision). 401k and FSA