Role Description The Director of Credentialing is responsible for leading, managing, and enhancing the organization’s credentialing, privileging, provider enrollment, and payer enrollment operations across all clinics and care delivery sites. This role ensures full compliance with regulatory, accreditation, and payer requirements while driving operational excellence, process innovation, and a positive provider experience. The Director oversees credentialing staff, manages key external vendor relationships, maintains exceptional standards of accuracy and timeliness, and serves as the organization’s primary expert on credentialing policies, workflows, and industry standards. Key Responsibilities - Leadership and Management - Provide strategic leadership for all credentialing, recredentialing, privileging, and provider enrollment activities. - Build, lead, and mentor a high-performing credentialing team with appropriate staffing, training, accountability, and performance management. - Develop and implement departmental goals, SOPs, KPIs, and quality assurance measures. - Facilitate training, ongoing education, and change management as credentialing systems and requirements evolve. - Credentialing and Privileging Operations - Oversee verification of licensure, education, training, certifications, work history, malpractice coverage, and professional references. - Establish proactive workflows for managing all expirable items, including license, certification, and insurance renewals. - Ensure accurate management of provider files, credentialing data, and documentation within credentialing software platforms. - Direct the privileging process in collaboration with medical leadership, department chiefs, and compliance teams. - Provide credentialing support for committee meetings, audits, board reviews, and documentation needs. - Regulatory Compliance - Ensure compliance with all federal, state, and local regulatory bodies including CMS, The Joint Commission, NCQA, URAC, and commercial payer standards. - Maintain up-to-date knowledge of regulatory changes and lead revisions to policies, procedures, and workflows accordingly. - Conduct and oversee internal audits to ensure readiness for accreditation surveys and external reviews. - Provider Enrollment - Oversee timely and accurate submission of enrollment applications with Medicare, Medicaid, and commercial payers. - Track and manage enrollments, revalidations, payer updates, and expirables to prevent reimbursement delays or claim denials. - Partner with Revenue Cycle and Managed Care to resolve enrollment-related claim issues and streamline payer setup workflows. - Vendor Relationship Management - Manage external credentialing and verification vendors, ensuring high performance, compliance, service quality, and contractual adherence. - Evaluate vendor capabilities, negotiate service agreements, monitor KPIs, and drive accountability for accuracy and turnaround times. - Lead transitions, implementations, or optimization projects involving outsourced credentialing or enrollment partners. - Process Improvement and Technology - Continuously evaluate and enhance credentialing workflows to reduce turnaround times, improve accuracy, and support scalability. - Lead implementation or optimization of credentialing software, automation tools, and data-management technologies. - Develop and oversee dashboard reporting for KPIs, productivity, turnaround time, expirables, enrollment status, and quality metrics. - Collaborate with IT, Managed Care, Compliance, and Operations on cross-functional systems and technology initiatives. - Relationship and Communication Management - Serve as the primary organizational contact for providers, clinical leaders, health plans, and regulatory bodies regarding credentialing matters. - Promote a provider-centric experience through timely communication, streamlined processes, and exceptional service standards. - Collaborate with HR, Legal, Compliance, Managed Care, and Clinical Operations on onboarding and cross-functional initiatives. - Deliver clear, concise presentations to executive leadership, including reporting on credentialing performance, risks, and mitigation strategies. - Prepare and present executive-ready materials including slide decks, dashboards, and credentialing summaries for operational and leadership reviews. Qualifications - Bachelor’s degree in healthcare administration, business, or related field. - 7 or more years of credentialing experience in a healthcare organization, MSO, medical group, ASC, or hospital. - 3 or more years of leadership or management experience. - Strong working knowledge of CMS, Joint Commission, NCQA, URAC, and payer credentialing and enrollment requirements. - Proficiency with credentialing software systems, provider databases, and digital document management. - Experience in multi-site or multi-state healthcare delivery organizations, or MSOs. Preferred - Master’s degree in healthcare administration, business administration, or related field. - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). - Proficiency with CredentialStream/Verity preferred. - Experience implementing credentialing software or leading large-scale credentialing process redesign. Key Competencies - Exceptional attention to detail and commitment to data accuracy. - Strong analytical, organizational, and project management abilities. - Excellent written, verbal, and presentation development skills. - Ability to lead teams through change and build scalable credentialing infrastructure. - High integrity, discretion, and commitment to confidentiality. - Ability to work cross-functionally and influence without formal authority. - Strong relationship management and customer service orientation. This is a remote position.

Sr. Director/Executive Director, Pricing & Access Analytics USA, United States · Regular Full Time · Remote Job description Liquidia is deeply passionate and committed to the discovery, engineering, and development required to bring novel therapies to patients who need them most, and to the healthcare providers who care for them. Our current drive is toward improving the treatment of pulmonary hypertension (PH). We will continue to combine our proprietary, innovative PRINT® Technology with new and established medications, offering the potential for both better precision and improved clinical outcomes. Our team members include some of the industry’s top scientists, clinicians, business strategists, engineers, and pharmaceutical executives. We work together to help people lead longer, healthier, and happier lives. Job Summary The Sr. Director/Executive Director, Pricing & Access Analytics is responsible for developing and applying advanced analytical techniques to inform pricing, contracting, and access business decisions across the Liquidia portfolio.   This role will drive quantitative insights and tools, strategic modeling, and scenario planning to support pricing execution, contract negotiations, and profitability optimization aligned with brand strategy. Position can be hybrid schedule based out of our RTP, NC headquarters or remote if selected candidate is not local to NC. Requirements Education and Experience - Bachelor’s degree required - 8+ years of relevant experience in pharmaceutical pricing and contracting, with direct experience with pharmaceuticals covered under pharmacy and medical benefits, or equivalent experience. - Directly related experience or a combination of directly related education and experience and/or competencies may be considered in place or stated requirements. Knowledge, Skills, and Abilities - Deep understanding of the US payer and market access environment and reimbursement methodologies - Direct experience in pulmonary or rare disease providing a thorough and complete knowledge of the industry, pharmaceutical pricing, payers' controls and reimbursement dynamics. - Direct experience analyzing and modeling and modeling the impact of competitor actions, customer buying patterns, evolving government legislation, and overall market trends, and assist with providing rationale for company positions. - Excellent Analytical, business strategy and quantitative analysis skills. - Advanced modeling skills including experience in developing financial models and the ability to succinctly and clearly communicate implications of financial modeling to management. - Exceptional verbal and written communication abilities, with proven presentation and training skills - Highly organized, self-directed, and capable of operating independently with strong multitasking capabilities. - Proficiency with Microsoft Office (Outlook, Word, Excel, PowerPoint) and Customer Relationship Management (CRM) systems Preferred Qualifications - Experience in pulmonary hypertension disease state or rare disease. - Ability to navigate complex business circumstances. - Ability to collaborate cross-functionally with internal/external customers. Responsibilities - Work closely with Market Access, Brand, and Finance teams to integrate analytical insights into broader strategic initiatives, support decision-making, and align financial planning, forecasting, and reporting. - Support development of pricing & contracting strategies that appropriately maintain access, manage reimbursement rates, and optimize gross-to-net across product portfolios, while remaining competitive in the market. - Conduct rebate invoice processing analysis, month-end gross-to-net reporting process, and periodic government price reporting. - Develop and implement advanced analytics models, using techniques such as predictive modeling, and statistical analytics to drive insights into customer behavior, market trends, and product performance. - Build pricing and contracting models and conduct scenario planning (WAC price changes, discounts and rebates, GP reporting implications, share shifts, etc.). - Model impacts resulting from changes in various reimbursement pricing, formulas, contracting and competitive scenarios, rebate forecasts, evolving government legislation, and business case rationale. - Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and contracting performance and recommend adjustments based on trends. - Support contract negotiations with ROI and access impact analysis ensuring pricing aligns with customer-specific needs and internal profitability targets. - Lead dashboard and report development and business review analytics that effectively measure, track, and quantify changes payer/brand business segment, and competitor business patterns. - Monitor and analyze industry, payer and customer trends, competitor pricing, and market conditions; conduct competitor benchmarking to refine internal pricing models and identify market gaps. - Provide strategic insights to leadership. - Collaborate with internal stakeholders on Market Access needs. - Maintain compliance with all company policies and procedures. Benefits Liquidia offers a competitive compensation package as well as a comprehensive benefits package that includes Medical, Dental, Vision, STD, LTD, 401(k) Savings Retirement Plan, ESPP, and more!

Role Description Entreprenista is a fast growing membership community and media company serving women entrepreneurs at all stages. In this role, you'll be Entreprenista's first dedicated technology leader, owning the products and infrastructure the business runs on, across internal operations and the member-facing products we take to market. - Own the technology roadmap. - Lead the build of new Entreprenista products end-to-end. - Support the needs of all departments within the company. - Drive the technology and product roadmap in partnership with leadership. - Lead the technology and product execution/project management. - Own the design and execution of our martech and revenue stack. - Own the architecture, integrity, and evolution of the membership database. - Transition external technology work in-house over the first six months. - Prioritize across requests from every team and build systems that reduce ad hoc work. Qualifications - A track record of leading technology and shipping products. - 7+ years building software, products, or technical infrastructure. - Hands-on technical depth across the modern stack. - Experience with martech and revenue tools (Klaviyo, HubSpot, Stripe, GA4/GTM, Zapier/n8n). - Experience in building and launching products from concept to real users. - Strong data and integration architecture instincts. - Ability to translate business needs into technical reality. - Precise, accountable, and trust-building. Requirements - Experience with subscription or membership business models. - SQL proficiency and experience with membership databases/data warehouses. - Proficiency in Python or JavaScript for custom builds. - Experience with API integrations beyond no-code. - Familiarity with community product infrastructure. - Experience as an early or first technical hire. - Background in or passion for serving founders, creators, or small business communities. Benefits - New Entreprenista products ship on time and work as intended. - The technology and product roadmap is owned, documented, and visible. - External technology partnership transitioned in-house within six months. - The membership database and core data infrastructure are stable and trusted. - Builds ship at a faster pace than the current baseline. - Cross-functional partners report fewer blocked dependencies. - Recognized internally as the technology and product function for the company.

Role Description The Underwriting Director, Mid-Market, is responsible for profitably underwriting stop-loss insurance for new and renewing groups across the 50-300 life space. This is a fully remote, senior individual contributor role with management potential. What you’ll do - Underwrite new business and renewals for experience-rated groups in the 50-300 life space across level-funded and traditional stop loss products. - Build and maintain strong working relationships with sales, actuarial, and clinical teams. - Set clear expectations with sales on turnaround times and consistently deliver on them. - Develop deep familiarity with Optimyl’s products and platform, and contribute feedback that shapes future iterations. - Mentor existing claims-based underwriters. Qualifications - 10+ years underwriting medical stop loss, with a focus on the 50-300 group size. - At least 5 years at an MGU or pure-play stop loss carrier; majority of career at a respected MGU preferred. - Comfort working in a lean, fast-moving environment without heavy oversight. - Familiarity with stop loss manuals and current underwriting tools, including AI-assisted platforms. Benefits - Competitive compensation - Comprehensive health coverage (medical, dental, vision) - Employer-paid life insurance and disability coverage - 401(k) retirement plan with employer match - Generous paid time off and company holidays We support growth through hands-on learning, exposure to new challenges, and opportunities to expand responsibilities as the company evolves.