Credentialing & Payor Enrollment Lead

Ensemble Health Partners; Kentucky; On-site; USD 69,000 - 104,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Professional certifications

Incentive programs

Career growth

Job summary

Ensemble Health Partners is seeking a Credentialing & Payor Enrollment Supervisor to lead daily credentialing and payer enrollment operations across provider, group, and facility workflows. You will supervise specialists, monitor performance, ensure audit-ready documentation, and drive process improvements to support timely provider readiness.

The role requires extensive experience in credentialing, enrollment, and regulatory standards, with strong leadership and cross-functional collaboration

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Revenue Cycle Management, or related field.
• 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.
• Demonstrated knowledge of healthcare regulatory, accreditation, payer, or delegated credentialing requirements.

Responsibilities

• Supervise daily credentialing and payor enrollment operations and workflow activities.
• Lead and develop Provider Credentialing Specialists through coaching and performance management.
• Oversee credentialing, enrollment, and related activities across provider, group, and facility workflows.
• Monitor status, aging reports, and application progress to ensure timely completion.
• Investigate and resolve complex credentialing, enrollment, and data issues.
• Coordinate credentialing activities with medical staff, revenue cycle, and payer representatives.

Skills

Provider credentialing

Payor enrollment

Team leadership

Regulatory compliance

Data management

Process improvement

AI in operations

Education

Bachelor's in Healthcare Admin/Related

Equivalent experience

Tools

Credentialing software

Job description

Ensemble Health Partners is seeking a Credentialing & Payor Enrollment Supervisor to lead daily credentialing and payer enrollment operations across provider, group, and facility workflows. You will supervise specialists, monitor performance, ensure audit-ready documentation, and drive process improvements to support timely provider readiness.

The role requires extensive experience in credentialing, enrollment, and regulatory standards, with strong leadership and cross-functional collaboration