Remote Credentialing & Payor Enrollment Leader

Ensemble Health Partners; Blue Ash (OH); A distancia; USD 69.000 - 104.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Descripción de la vacante

Ensemble Health Partners is seeking a Credentialing & Payor Enrollment Supervisor to lead daily credentialing and enrollment operations, ensuring provider readiness and regulatory compliance. You will supervise specialists, manage workflows, and collaborate with payers and internal teams to drive timely, accurate outcomes.

The role requires 5+ years in credentialing/enrollment, 2+ years in leadership, and experience with CMS/NCQA standards.

Formación

• Bachelor’s degree or equivalent in healthcare administration, business, or related field.
• Minimum 5 years of provider credentialing, payor enrollment, or related healthcare operations experience.
• Minimum 2 years of direct leadership, supervisory, or team lead experience.
• Experience with commercial and governmental payer credentialing/enrollment processes.
• Knowledge of CMS, NCQA, delegated credentialing requirements and related regulations.

Responsabilidades

• Lead daily credentialing and payor enrollment operations across provider, group, and facility workflows.
• Supervise Credentialing Specialists through coaching, training, and performance management.
• Ensure accurate credentialing data, timely enrollments, and adherence to regulatory standards.
• Monitor performance metrics, audit readiness, and quality across the function.
• Collaborate with internal teams, clients, and payers to resolve escalations and optimize processes.

Conocimientos

Team leadership

Provider credentialing

Payor enrollment

Regulatory compliance

Data management

Educación

Bachelor’s degree in Healthcare Administration / related field

Herramientas

Credentialing software

Provider data management systems

Descripción del empleo

Ensemble Health Partners is seeking a Credentialing & Payor Enrollment Supervisor to lead daily credentialing and enrollment operations, ensuring provider readiness and regulatory compliance. You will supervise specialists, manage workflows, and collaborate with payers and internal teams to drive timely, accurate outcomes.

The role requires 5+ years in credentialing/enrollment, 2+ years in leadership, and experience with CMS/NCQA standards.