Credentialing & Payor Enrollment Supervisor

About the role

The Credentialing & Payor Enrollment Supervisor leads daily credentialing and payor enrollment operations to support timely provider readiness, payer participation, and compliance with applicable regulatory, accreditation, payer, and internal requirements. This role supervises credentialing specialists, monitors operational performance, ensures accurate provider data and documentation, and supports completion of credentialing, recredentialing, enrollment, revalidation, maintenance, delegated roster, and related payer activities.

Responsibilities

• Supervise daily provider credentialing and payor enrollment operations and workflow activities.
• Lead and develop Provider Credentialing Specialists through coaching, training, performance management, and workload coordination.
• Oversee credentialing, recredentialing, initial enrollment, revalidation, maintenance, termination, group enrollment, facility enrollment, and ownership change activities.
• Maintain awareness of regulatory, accreditation, payer, and industry changes impacting provider credentialing and payor enrollment operations.
• Support delegated roster submission, receipt confirmation, payer approval follow-up, and related documentation requirements.
• Analyze operational performance metrics and identify opportunities to improve efficiency, quality, service delivery, and provider readiness outcomes.
• Prepare reporting and status updates for leadership regarding operational performance, credentialing and enrollment progress, risks, and escalations.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Revenue Cycle Management, or related field; equivalent combination of education and experience may be considered.
• Minimum 5 years of provider credentialing, payor enrollment, or closely related healthcare operations experience.
• Minimum 2 years of direct leadership, supervisory, or team lead experience.
• Experience working with commercial and governmental payer credentialing or enrollment processes.
• Experience utilizing provider credentialing, enrollment, or provider data management systems.
• Demonstrated knowledge of healthcare regulatory, accreditation, payer, or delegated credentialing requirements impacting provider credentialing and enrollment operations.

Qualifications

• Provider credentialing, recredentialing, payor enrollment, and provider lifecycle processes.
• Governmental and commercial payer requirements related to provider participation and enrollment.
• Healthcare regulatory, accreditation, and delegated credentialing requirements affecting credentialing and enrollment operations.
• Provider data management, credentialing, enrollment, and documentation.
• Delegated credentialing, payer roster, provider group, and facility enrollment processes.
• Operational performance measurement, quality assurance, audit readiness, and compliance control methodologies.

Skills

• Team leadership, coaching, and employee development.
• Workflow coordination and operational process management.
• Issue resolution, risk identification, and escalation management.
• Data analysis, reporting, and operational monitoring.
• Quality assurance, documentation review, and audit support.
• Cross-functional communication, stakeholder coordination, and follow-through.

Benefits

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Pay

The pay range for this position is $69,400.00-$104,100.00 annually depending on experience.

Schedule

This is a remote position.