Delta Dental of Arkansas

Supervisor

• Oversee day-to-day operations of the Credentialing team
• Coordinate initial and ongoing compliance with NCQA and Delta Dental Plans Association standards, including the National Provider File
• Ensure Credentialing and provider onboarding functions follow department policies and procedures
• Work with provider services associates, providers, and external clients to ensure satisfaction and timeliness
• Generate performance measures and monitor performance against goals
• Coordinate with the Director of Compliance on departmental and company initiatives, performance guarantees, and operational targets
• Administer Symplr and DDMI provider systems
• Monitor KPIs and metrics for provider enrollment and credentialing effectiveness, efficiency, and compliance
• Lead continuous process improvement, standardized toolkits, training programs, and plan deployment
• Maintain contractual credentialing information for providers across all networks, including Medicare Advantage and Medicaid
• Run reports to identify and address outstanding applications, issues, and expiring information
• Monitor team production, quality metrics, workload distribution, and SMART goals
• Coordinate hiring and downstream training/support for new associates with HR
• Provide cross-departmental support for PR and claims activities
• Resolve issues and improve business processes with other departments
• Compile statistical information and distribute results to management
• Address provider credentialing concerns and escalate issues to the credentialing committee
• Manage NPF and other credentialing audits
• Serve as backup support for other credentialing team members
• Perform miscellaneous duties as assigned

Credentialing Services Supervisor