Director, Qualification Engagement
Core
External voice of specialist qualification responsible for communicating decisions, educating practices, and representing the Clinical team in provider and client conversations.
Role type
Director, Qualification Engagement (Individual Contributor)
Builds
Specialty care network qualification process and provider education materials
Domain
Healthcare / Medical Credentialing / Specialty Care
Deliverable
client delivery
Required skills
Clinical judgment, negotiation, stakeholder management, process ownership, data analysis, strategic planning
Preferred skills
Physician or surgeon background, credentialing leadership experience, surgical practice administration
Technologies
Microsoft 365, Prism, AI-assisted drafting tools
Responsibilities
Deliver qualification decisions to practices, translate committee reasoning into clear communication, manage adverse-finding workflows, educate prospective practices, represent Clinical team in provider/client calls, set function strategy and service levels
Seniority
Director, hands-on IC