Director, Provider Licensure, Credentialing & Compliance

Healthcare Outcomes Performance Co. (HOPCo)

. Plan licensure, registration, and collaboration coverage for new states, programs, and provider types .

Posted 11/11/2026full-timeRemote • Arizona • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider licensure, credentialing, and compliance governance, with a strong focus on regulatory requirements and risk management. Proven ability to lead teams, develop workflows, and maintain audit-ready records in a multi-state healthcare environment.

Highest-signal resume keywords

Provider Licensure ManagementCredentialing ProcessesCompliance GovernanceRisk AssessmentLeadership and Team Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare AdministrationProvider ComplianceRegulatory ReportingStrategic PlanningRisk ManagementAudit DocumentationWorkflow AutomationContinuing Education TrackingMulti-State Practice RequirementsCollaboration and Supervision

Soft Skills

Analytical SkillsProject ManagementWritten CommunicationVerbal CommunicationOrganizational Skills

Tools & Technologies

Credentialing PlatformsCompliance Tracking SystemsDashboard Development ToolsAuditable Systems

Industry Keywords

Healthcare ComplianceTelehealth OperationsMedical Staff ServicesState Medical BoardsNursing BoardsAPP Practice Requirements

About the role

Key responsibilities & impact

Plan licensure, registration, and collaboration coverage for new states, programs, and provider types
Oversee the provider compliance risk framework and implement mitigation plans and controls
Establish governance through policies, procedures, KPIs, escalation protocols, and decision rights
Report on provider readiness, licensing status, state coverage, emerging risks, and compliance performance
Oversee initial, additional-state, renewal, and reinstatement licensure for VBC clinicians
Maintain records of licenses, certifications, credentialing status, and state-specific registrations
Track CME and continuing education requirements and incorporate them into renewal workflows
Coordinate payer credentialing and enrollment activities
Serve as operational authority on state-specific collaboration, supervision, delegation, scope-of-practice, and physician-to-APP ratio requirements
Establish and maintain collaborative or supervisory relationships, agreements, delegation documents, and practice protocols
Track physician-APP meetings, chart reviews, clinical record audits, and attestations in an auditable system
Manage state board reporting, filings, notifications, and attestations
Build and maintain a centralized provider compliance framework and single source of truth
Convert regulatory requirements into tasks, due dates, workflows, alerts, and escalation rules
Own credentialing and compliance tracking platforms and partner with Product/Technology to automate workflows
Develop dashboards and exception reporting
Lead regulatory change management and update workflows, agreements, policies, and system logic
Maintain audit-ready provider records; conduct internal audits and lead corrective actions and regulatory responses
Lead, develop, and retain a team of 1–2 direct reports
Coach team members through feedback, goal setting, and professional development
Identify automation, streamlining, and work-redistribution opportunities
Partner with Operations, Clinical Leadership, Legal/Compliance, Credentialing, Human Resources, and Product/Technology

Requirements

What you’ll need

Bachelor’s degree in healthcare administration, business administration, nursing, health sciences, compliance, or a related field required
Equivalent combination of education and substantial relevant experience may be considered
5–7 years of progressive experience in provider licensure, credentialing, provider compliance, medical staff services, telehealth operations, or a related healthcare function
At least 3 years in a leadership role with direct people-management responsibility
Experience in strategic planning, risk assessment, and building compliance governance, including policies, controls, and KPIs
Experience managing requirements for clinicians practicing across multiple states
Experience administering collaboration, supervision, delegation, or similar APP practice requirements
Experience working with state medical boards, nursing boards, and other professional licensing authorities
Experience managing credential expirations, renewals, continuing education requirements, board filings, and regulatory reporting
Strong knowledge of healthcare provider licensure and credentialing processes
Strong knowledge of state-specific physician, NP, and PA practice requirements
Knowledge of state medical and nursing board processes, reporting requirements, and regulatory expectations
Understanding of telehealth and multi-state clinical practice considerations
Understanding of compliance governance, risk management, internal controls, audit documentation, record retention, and regulatory change-management processes
Strategic planning and executive communication skills
Proven people-leadership skills, including hiring, coaching, and managing team performance
Strong organizational, project-management, analytical, written, and verbal communication skills
Ability to translate complex regulatory requirements into practical workflows and measurable controls
Ability to manage multiple concurrent deadlines while maintaining accuracy and regulatory compliance
Ability to collaborate across clinical, operational, technical, legal, compliance, and administrative functions

Benefits

Comp & perks

Full-time employment
Some travel, as needed, for organizational meetings, provider meetings, or other business purposes