Credentialing & Payor Enrollment Supervisor

Ensemble Health Partners

. Lead daily credentialing and payor enrollment operations across provider, group, and facility workflows .

Posted 10/28/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $69,400 - $104,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider credentialing and payor enrollment operations, ensuring compliance with regulatory standards and maintaining accurate documentation. Proven leadership in managing teams and optimizing workflows to enhance operational efficiency.

Highest-signal resume keywords

Provider CredentialingPayor EnrollmentLeadership ExperienceHealthcare Regulatory KnowledgeNCQA Standards

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing ProcessesEnrollment ProcessesData Management SystemsOperational Metrics AnalysisQuality ReviewsProcess ImprovementAudit-Ready DocumentationDelegated CredentialingMulti-State CredentialingRevenue Cycle Management

Soft Skills

CoachingTeam ManagementProblem SolvingCommunicationCollaboration

Certifications & Qualifications

Credentialing CertificationHealthcare Operations CertificationRevenue Cycle Management Certification

Industry Keywords

CMS GuidelinesNCQA StandardsPayer RequirementsAccreditationHealthcare Operations

About the role

Key responsibilities & impact

Lead daily credentialing and payor enrollment operations across provider, group, and facility workflows
Supervise, coach, train, and manage Provider Credentialing Specialists
Coordinate workloads, work queues, operational priorities, and team performance
Oversee credentialing, recredentialing, initial enrollment, revalidation, maintenance, termination, group enrollment, facility enrollment, and ownership change activities
Monitor status, aging reports, payer follow-up, and application progress
Investigate and resolve complex credentialing, enrollment, payer, data, documentation, and operational escalations
Maintain accurate provider credentialing and enrollment information in designated systems and databases
Coordinate with medical staff, revenue cycle, operations, clients, payer representatives, and cross-functional partners
Ensure compliance with payer requirements, CMS guidelines, NCQA standards, delegated credentialing requirements, regulations, and internal policies
Maintain complete, accurate, and audit-ready documentation
Perform quality reviews and routine audits
Support delegated roster submissions, receipt confirmation, payer approval follow-up, and related documentation
Analyze operational metrics and identify process improvement opportunities
Support standard work procedures, quality controls, and best practices
Monitor regulatory, accreditation, payer, and industry changes
Prepare leadership reports and status updates on performance, progress, risks, and escalations

Requirements

What you’ll need

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 with commercial and governmental payer credentialing or enrollment processes
Experience utilizing provider credentialing, enrollment, or provider data management systems
Knowledge of healthcare regulatory, accreditation, payer, or delegated credentialing requirements
Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require
Must reside in and be authorized to work within the United States
Experience supporting delegated credentialing environments preferred
Experience with NCQA standards and accreditation requirements preferred
Experience supporting multi-state provider, group, or facility credentialing and payor enrollment activities preferred
Experience leading credentialing or payor enrollment operations within a centralized shared services environment preferred
Professional certification related to credentialing, provider enrollment, healthcare operations, or revenue cycle management preferred
Demonstrated advanced usage of AI and management of teams using AI for process and technological improvements

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits including healthcare, time off, retirement, and well-being programs
Career Advancement
Professional certification relevant to the associate’s field
Quarterly and annual incentive programs
Work-Life Flexibility
Professional development