Lead the development and launch of innovative products, manage product performance and underwriting, conduct complex data analysis, and ensure compliance with laws and regulations for strategic market expansion.

Role Description Behavioral Health Works is seeking an experienced and strategic Director of Credentialing & Provider Enrollment to lead all credentialing, enrollment, contracting, compliance, and accreditation activities across our growing multi-state organization. This leadership role is responsible for overseeing provider credentialing operations across four affiliated companies operating in 10 states, ensuring compliance with federal, state, payer, and accreditation requirements. The Director will drive operational excellence through process standardization, policy development, team leadership, and continuous quality improvement while serving as a key partner to clinical, operational, compliance, and executive leadership teams. Qualifications - Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field; Master's degree preferred. - Experience within ABA, behavioral health, or healthcare services organizations. - Proficiency with credentialing and provider enrollment platforms, including CAQH, NPPES, CMS I&A, Availity, Salesforce, CentralReach, provider enrollment systems, content management systems (CMS), and Microsoft Office Suite (advanced Excel preferred). - Minimum of 7 years of experience in provider credentialing, healthcare compliance, provider enrollment, or payer contracting. - Demonstrated experience with multi-state provider credentialing and payer enrollment operations. - Strong knowledge of Medicaid, Medicare, commercial payer credentialing, and managed care requirements. Requirements - Oversee end-to-end provider credentialing and recredentialing operations across four companies in 10 states. - Lead provider enrollment, revalidation, and maintenance activities with Medicaid, Managed Care Organizations (MCOs), Regional Centers, Medicare, and commercial payers. - Ensure provider records, licenses, certifications, and credentialing documentation remain current and compliant. - Develop and maintain credentialing performance metrics and service-level standards. - Ensure compliance with all applicable federal, state, regional, payer, and accreditation requirements. - Conduct internal compliance audits and implement corrective action plans when necessary. - Develop, implement, and maintain production and quality standards for the organization's compliance program. - Oversee ongoing monitoring of SAM, OIG exclusions, state license sanctions/exclusions, Open Payments, and Medicare/Medicaid Opt-Out status. - Serve as the subject matter expert for credentialing, enrollment, and provider compliance regulations. - Lead contracting and enrollment initiatives with Medicaid agencies, Managed Care Organizations, Regional Centers, and commercial payers. - Support payer negotiations, contract implementation, and provider network expansion efforts. - Build and maintain strong relationships with payers, regulatory agencies, and internal stakeholders. - Manage the end-to-end policy lifecycle and governance process. - Establish, implement, and maintain organizational SOPs, policies, and procedures. - Drive work standardization and process improvement initiatives across credentialing and compliance functions. - Lead accreditation activities, including preparation, implementation, and ongoing compliance with Autism Council on Quality (ACQ) standards. - Ensure audit readiness and regulatory preparedness across all credentialing and compliance operations. - Lead, mentor, and develop credentialing, enrollment, and compliance team members. - Establish departmental goals, performance expectations, and quality benchmarks. - Develop and deliver employee training programs related to credentialing, compliance, enrollment, and policy implementation. - Foster a culture of accountability, collaboration, and continuous improvement. Benefits - Flexible remote work environment - Competitive salary and performance-based incentives - Comprehensive benefits package - Opportunities for professional development and career growth - Collaborative and supportive work culture - Leadership development opportunities - Health, Dental, Chiropractic, and Vision Insurance - Critical Illness, Voluntary Life, Accident, Hospital Confinement, and Basic Life Insurance - 401(k) - Pet Insurance - Paid Time Off - 9 Company-Paid Holidays per year, including 6 fixed holidays and 3 floating holidays - Professional Development Assistance - Employee Referral Program - Tuition Reduction Programs through affiliated university partners

Role Description Smithers is a leading global independent market intelligence and testing provider to the packaging supply chain. We are recruiting packaging industry professionals with a background in B2B market intelligence to lead consulting projects with clients across the supply chain. - Work with our clients to build market data models, identify opportunities and support the development of strategy. - Use your experience, knowledge and intelligence in new and creative ways to find solutions to client needs. Contact us if you... - Have experience in the packaging industry AND market intelligence. - Want variety in a rewarding role with a high degree of autonomy - no project is the same. - Are naturally inquisitive and curious. - Are prepared to proactively develop models and assumptions when data is limited (sizing markets for the first time). - Can analyze data and communicate your findings. - Are excellent at communicating with people. - Are confident developing proposals that meet client needs. - Want the opportunity to be an industry thought leader - present at conferences and conduct interviews with trade press and associations. - Make actionable recommendations to inform strategy across the packaging supply chain. - Can develop and engage a network of C-Level contacts in the packaging industry. Benefits - Competitive salary and benefits package. - Potential for remote working (no relocation required). - Opportunity to make a significant impact in a growing organization. - Exposure to a dynamic, multi-location business environment. - Medical, dental, and vision benefit plan. - Paid time off and holidays. - 401(k) retirement savings plan. - Life insurance and AD&D. - Short-term and long-term disability coverage. - Wellness Program. - Employee Assistance Program (EAP). - Ongoing learning and development. - International travel. Company Description The Smithers Group is a privately held global testing, information and consulting organization that delivers trusted solutions by integrating science, technology and business expertise. We are a healthy growing enterprise led by a culture of ethics, mission, respect for employees and the individual. Ready to Join Us? If you are passionate about the packaging industry and enjoy turning market intelligence into strategic insight, this is your opportunity.

• Define the end-to-end family engagement strategy to ensure high retention and successful clinical outcomes. • Identify and mitigate Social Determinants of Health (SDOH) that create barriers to consistent treatment for families. • Oversee the family experience from the point of intake through assessment, treatment, and eventual discharge. • Develop and maintain a robust network of community partners, outside agencies, and higher levels of care (HLOC) for referrals. • Create innovative parent-engagement initiatives to drive the timely completion of clinical assessments and treatment goals. • Provide high-level support for families in crisis, offering resources for financial stability, housing, or specialized advocacy. • Partner with clinical leadership to ensure family engagement efforts are synchronized with the child’s clinical treatment plan. • Establish the 'Family Success Playbook,' documenting SOPs for care coordination that can be scaled as the team grows. • Act as the senior escalation point for complex family situations that require a high degree of empathy and creative problem-solving. • Collaborate with the Ops team to ensure that scheduling and administrative logistics support, rather than hinder, the family's journey. • Communicate with families on pauses in care and next steps. • Strategize and deploy AI-enhanced workflows to automate routine family interactions and administrative logistics, maximizing the team's capacity for high-touch client engagement efforts. • Harness AI-driven predictive analytics to identify real-time trends in family engagement and potential barriers to care, allowing for proactive, data-informed interventions at scale. • Evaluate and implement AI-powered tools for automated resources to ensure consistent, high-quality family support while maintaining operational efficiency. • Oversee all clinical appeals (from submission through final determination) and all external Peer-to-Peers and Peer Reviews; analyze outcomes for systemic change. • Collaborate with payers and agencies on utilization-related clinical issues and resolution.