Supervisor, Provider Operations – Credentialing

. Manage the day-to-day activities regarding provider data management and credentialing.

Posted 4/22/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $69,742 - $116,251 per yearWebsite

Key responsibilities & impact

Manage the day-to-day activities regarding provider data management and credentialing.
Serve as a subject matter expert and support quality assurance, internal and external auditing of the key processes.
Ensure system compliance and acceptance testing, and drive process improvements designed to increase operational effectiveness.
Document new policies and procedures, develop and maintain training materials, and assist with onboarding new staff.
Manage a team of up to 10 to 14 credential specialists I and II.

What you’ll need

Bachelor's degree OR a minimum of 3 years' experience in healthcare insurance working with a provider, network, or contract data; OR a combination of education and experience, which would provide an equivalent background
Healthcare- 3 years REQUIRED
Health plan experience is preferred
Understanding health claims processing is a plus.

Comp & perks

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider data managementcredentialingquality assuranceauditingsystem complianceacceptance testingprocess improvementshealth claims processing

Soft Skills

team managementtraining developmentonboardingdocumentation

Certifications

Bachelor's degree