ABA Director – Credentialing

Coyne & Associates Education Corp.

. Oversee end-to-end provider credentialing and recredentialing operations across four companies in 10 states.

Posted 9/25/2026full-timeRemote • United StatesLead💰 $90,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider credentialing, enrollment, and compliance within healthcare services, ensuring adherence to regulatory standards and fostering continuous improvement. Proficient in managing multi-state operations and developing performance metrics to enhance service delivery.

Highest-signal resume keywords

Provider CredentialingHealthcare CompliancePayer ContractingMedicaid EnrollmentPerformance Metrics Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentCredentialing Documentation ManagementCompliance AuditsQuality Standards DevelopmentAccreditation ActivitiesMulti-State CredentialingPayer NegotiationsPolicy Lifecycle ManagementTraining Program DevelopmentProcess Improvement

Soft Skills

LeadershipCollaborationMentoringAccountabilityContinuous Improvement

Tools & Technologies

CAQHNPPESCMS I&AAvailitySalesforceCentralReachContent Management SystemsMicrosoft Office Suite

Industry Keywords

Healthcare AdministrationBehavioral HealthManaged Care OrganizationsMedicareMedicaidCommercial PayerRegulatory ComplianceAccreditation Standards

About the role

Key responsibilities & impact

Oversee end-to-end provider credentialing and recredentialing operations across four companies in 10 states.
Lead provider enrollment, revalidation, and maintenance activities with Medicaid, Managed Care Organizations, Regional Centers, Medicare, and commercial payers.
Ensure provider records, licenses, certifications, and credentialing documentation remain current and compliant.
Develop and maintain credentialing performance metrics and service-level standards.
Ensure compliance with federal, state, regional, payer, and accreditation requirements.
Conduct internal compliance audits and implement corrective action plans.
Develop, implement, and maintain production and quality standards for the compliance program.
Oversee monitoring of SAM, OIG exclusions, state license sanctions/exclusions, Open Payments, and Medicare/Medicaid Opt-Out status.
Serve as subject matter expert for credentialing, enrollment, and provider compliance regulations.
Lead contracting and enrollment initiatives with Medicaid agencies, Managed Care Organizations, Regional Centers, and commercial payers.
Support payer negotiations, contract implementation, and provider network expansion.
Build and maintain relationships with payers, regulatory agencies, and internal stakeholders.
Manage policy lifecycle and governance processes.
Establish and maintain organizational SOPs, policies, and procedures.
Drive standardization and process improvement across credentialing and compliance functions.
Lead accreditation activities, including preparation, implementation, and ongoing compliance with ACQ standards.
Ensure audit readiness and regulatory preparedness.
Lead, mentor, and develop credentialing, enrollment, and compliance team members.
Establish departmental goals, performance expectations, and quality benchmarks.
Develop and deliver employee training programs.
Foster accountability, collaboration, and continuous improvement.

Requirements

What you’ll need

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field; Master's degree preferred.
Experience within ABA, behavioral health, or healthcare services organizations.
Proficiency with credentialing and provider enrollment platforms, including CAQH, NPPES, CMS I&A, Availity, Salesforce, CentralReach, provider enrollment systems, content management systems (CMS), and Microsoft Office Suite (advanced Excel preferred).
Minimum of 7 years of experience in provider credentialing, healthcare compliance, provider enrollment, or payer contracting.
Demonstrated experience with multi-state provider credentialing and payer enrollment operations.
Strong knowledge of Medicaid, Medicare, commercial payer credentialing, and managed care requirements.

Benefits

Comp & perks

Flexible remote work environment
Competitive salary and performance-based incentives
Comprehensive benefits package
Opportunities for professional development and career growth
Collaborative and supportive work culture
Leadership development opportunities
Health, Dental, Chiropractic, and Vision Insurance
Critical Illness, Voluntary Life, Accident, Hospital Confinement, and Basic Life Insurance
401(k)
Pet Insurance
Paid Time Off
9 Company-Paid Holidays per year, including 6 fixed holidays and 3 floating holidays
Professional Development Assistance
Employee Referral Program
Tuition Reduction Programs through affiliated university partners