Director of Operational Support

Remote Full-time
The Director of Operational Support will lead and oversee the Credentialing, Authorizations, and Verification of Benefits (VOBE) teams to ensure operational excellence and compliance across all sites. This role is critical in maintaining timely credentialing processes and ensuring active authorizations for all active clients. The ideal candidate will have strong leadership skills, a deep understanding of multi-site credentialing, and experience managing prior authorizations and benefit verification workflows. Responsibilities Job Duties and Responsibilities include the following. Other duties may be assigned. Leadership & Oversight: • Direct and manage Credentialing, Authorizations, and VOBE teams to achieve departmental goals. • Provide strategic guidance and operational support to ensure efficiency and compliance. • Develop and streamline process and procedures Credentialing Management: • Oversee multisite credentialing processes for providers and facilities. • Ensure credentialing timelines are met and maintain accurate records for all active providers. • Oversee the Delegated Credentialing committee and related activities • Provide routine reporting to the field and leadership teams Authorizations & VOBE: • Ensure active authorizations are in place for all active clients. • Monitor and optimize workflows for prior authorizations and benefit verifications. • Monitor pending authorization levels to minimize risk Compliance & Quality Assurance: • Maintain adherence to regulatory and payer requirements. • Implement quality control measures to minimize errors and delays. Reporting & Metrics: • Track and report key performance indicators related to credentialing and authorizations. • Identify process improvement opportunities and implement best practices. Qualifications Education/Experience: Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred). Minimum 5-7 years of experience in healthcare operations, credentialing, and authorizations. Proven experience with multi-site credentialing processes. Prior experience managing benefit verification and authorization teams strongly preferred Apply tot his job
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Adjunct Professor Online - Public History job at Liberty University in US National

Remote Full-time

Child Watch - Freeport Branch – Amazon Store

Remote Full-time

Flexible Online Entry Work - Beginners Welcome

Remote Full-time

[Remote] ETL/Data Engineer (Federal Government Project)

Remote Full-time

**Experienced Customer Success Manager – Latin America Contractor at arenaflex**

Remote Full-time

Inside Sales Representative (WI, US)

Remote Full-time

State Veterinarian - Anticipated Vacancy

Remote Full-time

B2B Lead Generation Specialist - Prospect List for M&A Event in Dallas

Remote Full-time

**Experienced Part-Time Remote Airlines Customer Service Representative – Join arenaflex's Dynamic Team**

Remote Full-time

**Data Entry Associate – Entry Level/No Experience Opportunity at blithequark**

Remote Full-time
← Back to Home