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 Jobs

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

Remote

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

Remote

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

Remote

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

Remote

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

Remote

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

Remote

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

Remote

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

Remote

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

Remote

USPS Office Helper

Remote

Sales Operations Analyst, Remote

Remote

[Remote] Senior Analyst, Care Support Workforce Optimization

Remote

Career Sales Specialist Trainee

Remote

Talent Specialist Learning & Development

Remote

Antitrust Compliance Officer & Corporate Compliance Counsel

Remote

**Experienced Full Stack Customer Service Representative – Compensation and Injury Review Specialist**

Remote

[Remote] NetSuite Channel Sales Manager

Remote

Growth Strategist

Remote

Senior Manager, Enablement Quality Insights Brooklyn, New York – Amazon Store

Remote

Experienced Customer Experience Concierge and Chat Professional – Delivering Exceptional Support and Building Strong Relationships with Valued Clients at blithequark

Remote
← Back