Job Details

Join to apply for the Director of Credentialing Operations role at Brave Health

Join to apply for the Director of Credentialing Operations role at Brave Health

Get AI-powered advice on this job and more exclusive features.

Why We're Here

At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don't accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.

Why We're Here

At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don't accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.

We are seeking an operationally-minded Director of Credentialing Operations to lead the day-to-day functions of provider credentialing, cross-licensing, and health plan enrollment. This role is critical to ensuring our clinical workforce is ready to serve patients as quickly and efficiently as possible. You'll focus on designing scalable systems and leveraging automation to optimize workflows, all while maintaining regulatory compliance and enabling Brave Health's rapid growth across markets.

Key Responsibilities

• Provider Credentialing Lifecycle: Oversee the end-to-end credentialing process, from pre-hire to onboarding and maintenance, ensuring accuracy, timeliness, and compliance across all markets.
• Cross-Licensing Strategy Execution: Work with Talent and Clinical leaders to identify and drive provider cross-licensing initiatives that align supply with patient demand at the state level.
• Health Plan Enrollment Operations: Manage provider enrollment with Medicaid and commercial payers, ensuring required documentation and timelines are met to avoid delays in billing or care.
• Health Plan Contracting Strategy: Define and implement a contracting strategy, focusing on delegated credentialing, rate negotiations, value-based contracting, and CPT code optimization.
• Delegated Credentialing and Audit Management: Pursue and secure delegated credentialing status, ensure compliance with health plan requirements, and lead audit processes for provider files.
• Operational Excellence & Automation: Identify bottlenecks and inefficiencies in credentialing workflows; implement systems, tools, and automation to increase throughput and provider readiness.
• Internal Collaboration: Partner closely with the Business Operations, Talent Acquisition, and RCM teams to maintain visibility on provider status, hiring pipelines, and licensing requirements.
• Compliance & Quality Assurance: Maintain accurate records and ensure adherence to state, federal, and payer-specific credentialing and background check requirements.
• Data & Reporting: Build dashboards and tracking mechanisms to measure credentialing timelines, licensing volume, enrollment milestones, and provider readiness metrics.
  
  

• 5–7 years of experience in healthcare credentialing, licensing, or provider enrollment, preferably in a behavioral health or Medicaid-focused environment.
• Strong knowledge of state-by-state licensing requirements, particularly Medicaid and AHCA (Florida) regulations.
• Demonstrated success managing high-volume operational processes and cross-functional workflows.
• Experience implementing or improving credentialing systems and automation tools.
• Detail-oriented with excellent organizational and project management skills.
• Data-driven mindset; able to track, analyze, and report on performance metrics and process health.
• A proactive and collaborative approach; you thrive in a fast-moving, mission-driven startup.
  
  

• Familiarity with behavioral health coding, RCM processes, or delegated credentialing structures.
• Experience in scaling teams and operations in a high-growth, multi-state care delivery environment.
• Comfort working in a fully remote team environment.
  
  

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Brave Health by 2x

Sign in to set job alerts for “Director of Operations” roles.

Director of Field Operations - Fiber Construction

Director of Retail Operations, 2 Hour Learning (Remote) - $400,000/year USD

Senior Director of Regulatory Operations, 2 Hour Learning (Remote) - $400,000/year USD

Senior Director of Regulatory Operations, 2 Hour Learning (Remote) - $400,000/year USD

Cincinnati, OH $200.00-$200.00 14 hours ago

Director Mergers & Acquisitions - US Based Remote

Executive Director, Clinical Trial Project Management

United States $140,000.00-$160,000.00 1 week ago

Director of Strategic Accounts (Ohio-Indiana)

Columbus, OH $190,000.00-$240,000.00 1 week ago

Associate Director, Client Services - Remote in Ohio

Columbus, OH $89,800.00-$176,700.00 6 days ago

Columbus, OH $150,000.00-$170,000.00 1 month ago

Ohio, United States $125,200.00-$187,700.00 4 weeks ago

Cincinnati, OH $135,000.00-$140,000.00 1 day ago

Director, Software Engineering, Servicing Platforms

Cleveland, OH $90,000.00-$125,000.00 4 months ago

Director, Service Operations - Cloud Compute Services

Director, Revenue Operations and Business Systems

Operations Manager, EDA Services & Customer Success

Winchester, OH $128,670.00-$231,600.00 2 weeks ago

Director of Systems Reliability & Field Resilience

Toronto, OH $210,000.00-$250,000.00 1 week ago

Warehouse Lead Industrial Engineer - Start-ups (Remote)

Columbus, OH $105,000.00-$120,000.00 1 month ago

Assistant Director of Career Services- Remote

Columbus, OH $75,000.00-$85,000.00 4 days ago

Supervisory Management & Program Analyst (Data Analytics)

Columbus, OH $146,481.00-$195,200.00 3 days ago

Supervisory Management & Program Analyst (Data Analytics)

Patterson, OH $146,481.00-$195,200.00 3 days ago

Commercial Lines Automated Underwriting Director

Strategic Student Program: Events Marketing Internship (Fall 2025, STMK)

Columbus, OH $170,000.00-$200,000.00 1 week ago

We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.