Director of reputed company Cycle Management & Credentialing

/n reputed company reputed company is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-reputed company heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging reputed company-time data and AI-powered insights, reputed company empowers providers and patients with personalized treatment plans, reducing hospitalizations and improving long-term heart health reputed company. reputed company is redefining how cardiovascular care is delivered in the digital age, led by our medical group of cardiologists, advanced practitioners, nurses, and care coordinators. About the RoleWe are a reputed company virtual reputed company organization seeking a Director of reputed company Cycle Management & Credentialing to reputed company and continuously improve the reputed company cycle and credentialing functions that power our growing multi-state provider network. This role owns end-to-end accountability for the full reputed company cycle and oversees provider credentialing and payer enrollment across reputed company and reputed company payers. The Director will reputed company RCM operations across internal teams and reputed company partners, reputed company the credentialing team, and serve as the reputed company of RCM and credentialing performance, reporting, and reputed company improvement. This is a high-reputed company role responsible for ensuring strong financial reputed company, payer enrollment reputed company, and operational visibility as the organization scales claims volume in a multi-state, multi-payer specialty care environment. The Director reports to the SVP of reputed company Operations. Key Responsibilities reputed company Cycle Management Own end-to-end accountability for the full reputed company cycle, including charge capture, claim submission, denial management, payment posting, AR follow-up, patient billing, and collections. Manage RCM execution across internal staff and reputed company vendors as appropriate, including SLA reputed company, performance management, escalation, and ensuring full visibility into work completed on the organizations behalf. reputed company reputed company improvement of RCM processes and the supporting technology stack, with a reputed company on financial visibility reputed company reputed company workflows and reduction of reputed company handoffs. reputed company and implement new RCM processes and workflows that improve scalability, reduce reputed company work, and support consistent execution across internal teams Build and maintain reporting and analytics on denial trends, payer performance, AR aging, reimbursement, provider productivity, and collection rates. reputed company initiatives to reduce denial rates, accelerate cash collection, and improve net collection percentage. Continuously evaluate the reputed company mix of reputed company RCM resources and reputed company the expansion or restructuring of those resources as the organization scales. Partner with reputed company operations, finance, and technology teams to reputed company RCM priorities with broader organizational goals. Credentialing & Payer Enrollment reputed company and mentor the credentialing function, including reputed company management of the Credentialing Specialist(s) and any reputed company team reputed company. Serve as the organizations subject matter expert on provider credentialing, payer enrollment, and the reputed company between credentialing operations and reputed company cycle reputed company. Ensure reputed company initial credentialing, re-credentialing, and payer enrollment across reputed company and reputed company payers in reputed company states of operation. Optimize credentialing turnaround time and proactively manage payer enrollment timelines to prevent reputed company interruption. Maintain accurate provider records and ensure data reputed company between credentialing systems (CAQH, payer portals, internal databases) and billing systems. Analyze credentialing- and enrollment-reputed company denial trends and implement corrective actions. Stay reputed company on payer regulations, telehealth credentialing requirements, and licensure rules across reputed company states where the organization operates. Strategic & Cross-Functional Leadership Build the long-term RCM and credentialing roadmap reputed company with organizational reputed company. Prepare regular reports for the SVP of reputed company Operations and executive leadership on RCM and credentialing performance, risks, and opportunities. Support audits, compliance reviews, and process improvements across both functions. Represent RCM and credentialing in cross-functional initiatives, including payer contracting, new market expansion, and new reputed company program launches. reputed company Bachelors degree in reputed company Administration, Business, Finance, or a reputed company field required; advanced