Director of Operational Support

Job Duties and Responsibilities

• 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.
• Maintain credentialing timelines and 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.

Requirements

• 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.
• Prior experience managing benefit verification and authorization teams strongly preferred.