Senior Credentialing & Privileging Lead

Chase Brexton Health Care; Baltimore (MD); On-site; USD 75,000 - 85,000; Full time

Job summary

Chase Brexton Health Care seeks a Credentialing Supervisor to oversee (re)credentialing, privileging, and payer enrollment for providers, facilities, and entities. You will lead a team ensuring HRSA compliance and uninterrupted enrollment with payers.

Responsibilities include staff supervision, onboarding, and maintaining payer profiles while coordinating audits and regulatory reviews.

Qualifications

• Associate degree in healthcare/related field required.
• Minimum five years of provider credentialing, privileging, and payer enrollment experience.
• Experience with HRSA credentialing and privileging requirements.

Responsibilities

• Supervise credentialing staff, including scheduling, payroll, evaluations, coaching, and corrective action.
• Recruit, onboard, train, and develop staff.
• Oversee initial and ongoing provider credentialing and recredentialing.
• Coordinate initial privileging and re-privileging processes.
• Oversee facility, group, and provider enrollment with Medicare, Medicaid, and commercial payers.
• Maintain active payer enrollments, profiles, certifications, and revalidations.
• Ensure HRSA credentialing compliance and support audits/regulatory reviews.
• Work with providers to obtain required documentation.

Skills

HRSA credentialing

Payer enrollment

CAQH

CredentialStream

Healthcare regulations

Leadership

Communication

Organization

Compliance management

Education

Associate degree in Healthcare Administration, Business Administration, Health Information Management, or related field

Bachelor degree preferred

Tools

CAQH

CredentialStream

Job description

Chase Brexton Health Care seeks a Credentialing Supervisor to oversee (re)credentialing, privileging, and payer enrollment for providers, facilities, and entities. You will lead a team ensuring HRSA compliance and uninterrupted enrollment with payers.

Responsibilities include staff supervision, onboarding, and maintaining payer profiles while coordinating audits and regulatory reviews.