Credentialing Supervisor

●  Oversee the end-to-end credentialing and recredentialing processes for all providers, ensuring accuracy, timeliness, and compliance with regulatory and accreditation standards.

●  Serve as the primary subject matter expert for Joint Commission standards, maintaining continuous survey readiness and leading accreditation efforts.

●  Develop, implement, and enhance credentialing policies, procedures, and workflows to align with Joint Commission, NCQA (if applicable), and state/federal requirements.

●  Monitor credentialing activities to ensure compliance with internal standards and external regulatory requirements, identifying and addressing gaps proactively.

●  Lead internal audits and prepare documentation for Joint Commission surveys, mock audits, and ongoing compliance reviews.

●  Supervise and support credentialing staff, providing guidance, training, and performance oversight to ensure high-quality execution.

●  Collaborate cross-functionally with Enrollment, Compliance, Legal, Provider Operations, and Revenue Cycle teams to ensure credentialing alignment and operational readiness.

●  Maintain accurate and complete provider credentialing records within credentialing systems and ensure data integrity across platforms.

●  Track licensure, certifications, sanctions, and expirables, ensuring timely renewals and adherence to compliance requirements.

●  Serve as a point of escalation for complex credentialing issues, provider concerns, and audit findings.

●  Identify opportunities for process improvement, automation, and scalability to enhance efficiency and reduce risk.

●  Bachelor’s degree preferred (or equivalent work experience).

●  4+ years of credentialing experience in a healthcare organization, hospital, health system, CVO, or behavioral health setting.

●  2+ years of experience in a lead or supervisory role preferred.

●  Strong working knowledge of Joint Commission credentialing and accreditation standards (required).

●  Experience supporting or leading Joint Commission surveys and audit readiness efforts strongly preferred.

●  Familiarity with NCQA standards is a plus.

●  Experience with credentialing platforms (e.g., CredentialStream, Verifiable, or similar systems) and provider data management tools.

●  Exceptional attention to detail with the ability to manage multiple priorities and deadlines in a fast-paced environment.

●  Strong analytical, organizational, and problem-solving skills.

●  Excellent written and verbal communication skills, with the ability to collaborate effectively across teams and levels of the organization.

●  Proven ability to build, improve, and scale operational processes.