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Delegated Credentialing Supervisor Pediatric Associates - 3.3 Plantation, FL Job Details Full-time 2 hours ago Qualifications Staff supervision Healthcare staff management Team supervision Full Job Description

PRIMARY FUNCTION

The Delegated Credentialing Supervisor oversees the endtoend delegated credentialing and enrollment process, ensuring full compliance with NCQA, AAAHC, and payer requirements while maintaining accurate provider data and supporting timely onboarding, offboarding, and renewals. This role provides leadership to credentialing staff, manages internal and external audits, serves as a liaison with delegated entities and internal partners, and drives continuous process improvement to enhance quality, efficiency, and operational performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all the duties that may be assigned. Supervise and develop credentialing staff, including assigning workloads, providing coaching and feedback, and supporting ongoing training and performance development. Oversee daily delegated and nondelegated credentialing and enrollment activities, ensuring timely processing of enrollments, reenrollments, and related updates. Ensure compliance with state, federal, accreditation, and payer requirements by conducting internal audits, coordinating external audits, and monitoring monthly reporting for accuracy and completeness. Maintain and manage credentialing and enrollment data across all systems, ensuring provider records, rosters, and documentation are accurate, current, and consistently updated. Serve as a primary liaison with payers, delegated entities, internal partners, and providers to address credentialing and enrollment inquiries, resolve issues, and support smooth operational workflows. Identify and implement process improvements, including technological enhancements and workflow optimizations, to increase efficiency, accuracy, and overall departmental performance.

SUPERVISORY RESPONSIBILITIES

Provides direct supervision to Credentialing Specialists, including workflow coordination, performance support, and training.

QUALIFICATIONS EDUCATION

Bachelor's degree required; proven relevant experience may be accepted in place of a degree.

Licensure:

None

EXPERIENCE

Minimum of three years of relevant experience in credentialing, enrollment, or a related healthcare operations field required with at least one year of experience in a leadership role with responsibility for leading or supervising staff.

KNOWLEDGE, SKILLS, AND ABILITIES

Experience in delegated credentialing and nondelegated enrollment, with a solid understanding of endtoend processes. Proven supervisory or leadership experience, including supporting staff development and managing workflow priorities. Strong knowledge of NCQA standards and applicable state and federal regulations governing credentialing and provider enrollment. Excellent organizational, communication, and problemsolving skills, with the ability to manage multiple priorities in a fastpaced environment. Proficiency with credentialing software and the Microsoft Office Suite, including data entry, reporting, and documentation management. Familiarity with CredentialStream or similar credentialing platforms is preferred.

TYPICAL WORKING CONDITIONS

Non-patient facing Remote position Must be U.S. based. Requires extended periods of sitting, data entry, and screen time. Occasional standing, walking, or lifting of files and materials up to 10-15 pounds may be required. Regular interaction with internal staff, providers, payers, and external partners. Work may involve managing multiple priorities and deadlines in a fastpaced setting.

OTHER PHYSICAL REQUIREMENTS

Vision Sense of sound Sense of touch

Location:

Pediatric Associates

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Revenue Cycle Management Schedule:

Full Time, Remote