Credentialing & Payor Enrollment Supervisor

Tasks

• Coach and train team members
• Conduct audits and quality reviews
• Coordinate credentialing with medical staff and payers
• Ensure quality and compliance with payer requirements
• Lead provider credentialing specialists
• Maintain accurate provider data in systems
• Maintain audit-ready documentation
• Monitor operational performance and work queues
• Prepare status reports for leadership
• Resolve complex credentialing and enrollment escalations
• Supervise payor enrollment operations
• Supervise provider credentialing operations
• Support process improvement initiatives

Perks/Benefits

• Bonus incentives
• Career advancement
• Comprehensive benefits
• Paid certifications
• Tuition reimbursement

Skills/Tech-stack

Audit Readiness | CMS guidelines | Data Analysis | Delegated Credentialing | Healthcare Regulatory | Healthcare regulatory compliance | NCQA | Operational reporting | Payor Enrollment | Provider credentialing | Quality Assurance | Queue management | Regulatory Compliance | Work Queue | Work queue management