Credentialing & Payor Enrollment Supervisor

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.

This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E

Purpose:

Customer Obsession:
Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:
Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence:
Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

CAREER OPPORTUNITY OFFERING:
Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement. This pay range for this position is $69,400.00-$ annually depending on experience.

The Credentialing & Payor Enrollment Supervisor leads daily credentialing and payor enrollment operations to support timely provider readiness, payer participation, and compliance with applicable regulatory, accreditation, payer, and internal requirements. This role supervises credentialing specialists, monitors operational performance, ensures accurate provider data and documentation, and supports completion of credentialing, recredentialing, enrollment, revalidation, maintenance, delegated roster, and related payer activities. The Supervisor serves as an escalation point for complex or high-risk items and supports continuous improvement of quality, timeliness, and audit readiness across the function.

The Credentialing & Payor Enrollment Supervisor oversees execution of credentialing and payor enrollment activities across provider, group, and facility workflows. This role manages work queues and operational priorities, supervises team performance, monitors quality and compliance standards, and collaborates with internal stakeholders, clients, and payer representatives to ensure accurate and timely credentialing and enrollment outcomes. The Supervisor promotes process consistency, maintains audit-ready documentation, and ensures adherence to regulatory, accreditation, payer, delegated credentialing, and internal policy requirements.

• Supervise daily provider credentialing and payor enrollment operations and workflow activities.
• Lead and develop Provider Credentialing Specialists through coaching, training, performance management, and workload coordination.
• Oversee credentialing, recredentialing, initial enrollment, revalidation, maintenance, termination, group enrollment, facility enrollment, and ownership change activities.
• Monitor credentialing and enrollment status, aging reports, work queues, payer follow-up, and application progress to support timely completion of requirements.
• Investigate and resolve complex credentialing, enrollment, payer, data, documentation, and operational escalations.
• Ensure accurate maintenance of provider credentialing and enrollment information within designated systems and databases.
• Coordinate credentialing and enrollment activities with medical staff, revenue cycle, operations, clients, payer representatives, and other cross-functional partners.
• Ensure compliance with payer requirements, CMS guidelines, NCQA standards, delegated credentialing requirements, applicable regulations, and internal policies.
• Maintain complete, accurate, and audit-ready documentation for credentialing and enrollment activities.
• Perform quality reviews and routine audits to promote accuracy, consistency, compliance, and process improvement.
• Support delegated roster submission, receipt confirmation, payer approval follow-up, and related documentation requirements.
• Analyze operational performance metrics and identify opportunities to improve efficiency, quality, service delivery, and provider readiness outcomes.
• Support implementation of standard work procedures, process improvements, quality controls, and best practices.
• Maintain awareness of regulatory,…