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Supervisor, Credentialing
Tenet Healthcare. Lead the GBC Credentialing team and provide day-to-day oversight of the offshore market team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of provider credentialing and enrollment operations, with a strong focus on compliance with NCQA standards and payer requirements. Proven ability to lead teams, develop training programs, and utilize operational metrics to enhance performance and drive improvements.
Highest-signal resume keywords
Provider CredentialingPayer OnboardingLeadership and CoachingData AnalysisMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing OperationsProvider EnrollmentProject ManagementQuality AuditsOperational Performance MetricsSOP DevelopmentCompetency AssessmentsECHO SystemsAthena SystemsPayer Packet Auditing
Soft Skills
Strong OrganizationPrioritizationExcellent CommunicationStakeholder ManagementEmployee Development
Tools & Technologies
ECHOAthenaPayer TrackersReporting Platforms
Industry Keywords
NCQA StandardsCMS RegulationsHealthcare OperationsCredentialing AgreementsAccreditation Reviews
About the role
Key responsibilities & impact- Lead the GBC Credentialing team and provide day-to-day oversight of the offshore market team
- Train and onboard FTE, offshore, and contractor team members
- Own credentialing training, education, SOPs, job aids, audit checklists, competency assessments, and the knowledge repository
- Oversee provider onboards, ancillary PIF management, payer packet auditing, non-delegated submissions, expirable management, ECHO builds, payer trackers, and Athena standards
- Directly manage leadership-approved Priority Provider Readiness Program plans through credentialed, enrolled, and billing-ready status
- Conduct coaching sessions, one-on-ones, performance evaluations, and employee growth and succession planning
- Monitor productivity, quality, credentialing pipeline, readiness metrics, SLAs, and workload distribution
- Review audit findings, identify root causes, implement corrective action plans, and provide real-time feedback
- Develop operational reports and dashboards and provide regular reporting to managers and leadership
- Coordinate with Credentialing and Provider Enrollment, Contracting and Network Development, Revenue Cycle, Practice Operations, and Provider Onboarding
- Ensure compliance with NCQA standards, delegated credentialing agreements, CMS regulations, organizational policies, and payer requirements
- Support accreditation reviews and audit activities
Requirements
What you’ll need- Advanced knowledge of provider credentialing and enrollment operations and payer onboarding requirements
- Strong organization, prioritization, project management, and follow-through on time-sensitive work
- Ability to analyze data and identify operational trends
- Strong leadership, coaching, and employee development skills
- Excellent written and verbal communication and stakeholder management with leaders and cross-functional partners
- Proficiency in Microsoft Office applications
- Three (3) or more years of credentialing, provider enrollment, or healthcare operations experience
- Demonstrated experience overseeing credentialing and market operations, including onboards, payer packet auditing, non-delegated submissions, expirable management, and priority provider readiness work
- Working knowledge of delegated, non-delegated, and government enrollment pathways
- Experience with credentialing and provider systems, such as ECHO, Athena, payer trackers, and reporting platforms
- Proven ability to train, coach, and document processes clearly
- Experience using quality audits and operational performance metrics to drive improvement
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field preferred
- Equivalent experience may be considered
Benefits
Comp & perks- Resources, tools, and support to serve patients and customers
- Career pathway and professional development support
- Employee development opportunities