$125K - $150K/yr
Monsey, NY | Full-time | $125k - $150k *Position Overview* The *Compliance Director* is responsible ... CAQH profile maintenance -- Negotiate and manage commercial payer contracts, fee schedules, and ...
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$125K - $150K/yr
Monsey, NY | Full-time | $125k - $150k *Position Overview* The *Compliance Director* is responsible ... CAQH profile maintenance -- Negotiate and manage commercial payer contracts, fee schedules, and ...
Greenville, SC · On-site
$25 - $27/hr
Job Type Full-time Description Position Overview Carolina Nephrology is seeking an experienced ... Maintain and update provider information within CAQH and other credentialing databases.
Greenville, SC · On-site
$25 - $27/hr
Job Type Full-time Description Position Overview Carolina Nephrology is seeking an experienced ... Maintain and update provider information within CAQH and other credentialing databases.
Dallas, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Dallas, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
San Jose, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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San Jose, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Orland Park, IL · Hybrid
$55K - $65K/yr
Patient Accounts Specialist - Joint Relief Institute (JRI) Full-Time | Oakbrook / Orland Park ... Manage CAQH, NPPES, PECOS, Availity, Medicaid, and commercial payer portals. * Track expirations ...
Orland Park, IL · Hybrid
$55K - $65K/yr
Patient Accounts Specialist - Joint Relief Institute (JRI) Full-Time | Oakbrook / Orland Park ... Manage CAQH, NPPES, PECOS, Availity, Medicaid, and commercial payer portals. * Track expirations ...
Marion, SC · Hybrid
$43 - $65/hr
Marion, SC and surrounding rural communities Job Type : Full-Time | Hybrid | 1099 Independent ... Active NPI and CAQH profile required * Medicaid/MCO credentialing eligibility required * Strong ...
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Marion, SC · Hybrid
$43 - $65/hr
Marion, SC and surrounding rural communities Job Type : Full-Time | Hybrid | 1099 Independent ... Active NPI and CAQH profile required * Medicaid/MCO credentialing eligibility required * Strong ...
Brooklyn, NY · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Brooklyn, NY · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Denver, CO · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Denver, CO · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Chicago, IL · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Chicago, IL · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
San Francisco, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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San Francisco, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Columbus, OH · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Columbus, OH · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
San Diego, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Quick apply
San Diego, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Charlotte, NC · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Charlotte, NC · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Los Angeles, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Los Angeles, CA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
San Antonio, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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San Antonio, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Indianapolis, IN · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
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Indianapolis, IN · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Fort Worth, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Quick apply
Fort Worth, TX · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Philadelphia, PA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Quick apply
Philadelphia, PA · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Provider Credentialing & Contracting Supervisor Full-Time | On-Site Location: Boca Raton, FL ... Maintain provider profiles within CAQH, PECOS, and NPI registries * Ensure all provider ...
Provider Credentialing & Contracting Supervisor Full-Time | On-Site Location: Boca Raton, FL ... Maintain provider profiles within CAQH, PECOS, and NPI registries * Ensure all provider ...
Phoenix, AZ · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
Quick apply
Phoenix, AZ · Remote
$95K - $120K/yr
Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third ...
$13.70 - $16
2% of jobs
$16 - $18.29
13% of jobs
$19.44 is the 25th percentile. Wages below this are outliers.
$18.29 - $20.59
20% of jobs
The median wage is $22.59 / hr.
$20.59 - $22.88
17% of jobs
$22.88 - $25.17
15% of jobs
$26.90 is the 75th percentile. Wages above this are outliers.
$25.17 - $27.47
11% of jobs
$27.47 - $29.76
10% of jobs
$29.76 - $32.06
5% of jobs
$32.06 - $34.35
3% of jobs
$34.35 - $36.65
3% of jobs
$36.65 - $38.94
1% of jobs
$13
$24
$38
| Aspect | Full Time Caqh | Part Time Caqh |
|---|---|---|
| Work Hours | Typically 35-40 hours per week | Fewer hours, usually less than 20 hours per week |
| Certifications | Required CAQH credential, possibly more comprehensive | Same certifications as full-time, but may have less ongoing training |
| Work Environment | Full-time healthcare facilities, clinics, or hospitals | Part-time roles in similar settings, often flexible |
| Employer Usage | Commonly employed by healthcare providers needing full-time staff | Used for supplemental staffing or flexible scheduling |
Full Time Caqh roles involve standard full-time hours with comprehensive benefits, while Part Time Caqh positions offer flexible scheduling with fewer hours. Both require CAQH credentials and are used in healthcare settings, but the full-time role provides more stability and benefits.
*NOW HIRING: Compliance Director*
Monsey, NY | Full-time | $125k - $150k
*Position Overview*
The *Compliance Director* is responsible for credentialing, contracting, and payer-side oversight across the behavioral health and substance use disorder portfolio managed by the company. The position expands to include authorization oversight as the function matures and provides advisory support for broader compliance matters.
*Core Responsibilities for the Compliance Director*
— Lead provider credentialing and facility contracting across portfolio facilities, including initial credentialing, re-credentialing, and CAQH profile maintenance
— Negotiate and manage commercial payer contracts, fee schedules, and renewals
— Maintain credentialing status tracking with proactive follow-up to prevent enrollment gaps
— Provide advisory support on HIPAA, audit response, regulatory inquiries, and Joint Commission / AHCA compliance posture
— Develop and lead a small team of credentialing, contracting, and authorization specialists as the portfolio scales
— Serve as internal subject matter expert on commercial payer policy and behavioral health regulatory developments
*Required Experience*
We need a *Compliance Director* with minimum five years of progressive experience in healthcare credentialing, contracting, and payer relations. Direct hands-on experience on both the payer side and provider side is required, plus behavioral health and/or substance use disorder vertical experience.
Other must-haves for the *Compliance Director* role:
— Demonstrated history of commercial contract negotiation and credentialing cycle completion
— Working knowledge of major commercial payers and their BH carve-outs: Optum BH, Magellan, Evernorth, Carelon
— Experience with CAQH, NCQA standards, and provider data management platforms
— Familiarity with HIPAA, HITECH, Title 42 CFR Part 2, MHPAEA, and applicable state SUD licensing frameworks
*Preferred Qualifications*
— Bachelor’s degree in healthcare admin, business admin, or related field
— Professional compliance certification: CHC, CPCO, or CHPC
— Medicaid and Medicare credentialing and contracting experience
— Prior management experience leading credentialing or contracting teams
HP
Sourced by ZipRecruiter
Health care and social assistance
1 - 10 Employees
Northbrook, IL, US
2014
