Credentialing Supervisor

Denova Collaborative Health • Phoenix, AZ

17d • Hybrid

About The Position

As the Credentialing Supervisor, you'll lead our credentialing team to ensure all providers are verified, compliant, and ready to deliver exceptional care. In this vital role, you’ll oversee credentialing, recredentialing, and privileging processes to meet internal standards and external requirements. You’ll serve as the key liaison between providers, payers, and internal departments, while supporting team development, audit readiness, and operational excellence . This is a full-time, exempt leadership position reporting to the Director of Quality and Credentialing within the Compliance & Quality Department .

Requirements

• Associate’s degree required
• Bachelor’s degree in a related field (e.g., Healthcare Administration, Business) preferred.
• Minimum of 5 years of leadership experience and at least 4 years in credentialing.
• Familiarity with public and private payers , including AHCCCS/Medicaid and commercial insurance plans.
• Knowledge of credentialing and compliance standards including TJC , NCQA, CMS, and state licensing boards.
• Experience with credentialing software and systems (e.g., CAQH, EMRs, payer portals).
• Strong time management, problem-solving, and communication skills.
• Ability to lead a team in a fast-paced , detail-oriented environment.
• Proficient with Microsoft Office Suite , especially Outlook, Word, and Excel.

Nice To Haves

• NAMSS certification (CPCS or CPMSM) preferred but not required.

Responsibilities

• Supervise day-to-day operations of the credentialing team, ensuring timely and accurate processing of initial and recredentialing files.
• Oversee verification of provider credentials including education, licensure, board certifications, and professional experience.
• Ensure all credentialing activities meet payer, accreditation, and regulatory standards (e.g., TJC, NCQA, AHCCCS/Medicaid, and commercial plans).
• Maintain the credentialing database and ensure provider data accuracy across CAQH, delegated payer rosters, and internal systems.
• Partner closely with Provider Enrollment to align credentialing workflows with payer onboarding.
• Monitor all expirable items (licenses, DEA, malpractice coverage) and manage renewal tracking.
• Prepare for audits and regulatory surveys; support compliance efforts with internal quality reviews.
• Lead credentialing committee preparation and reporting for executive leadership.
• Train, coach, and mentor team members to foster accountability, accuracy, and professional growth.
• Collaborate with HR, Provider Relations, Legal, and Clinical Leadership to streamline provider onboarding.
• Perform other duties as needed to support the success of the department

Benefits

• Comprehensive low-cost medical, dental, and vision insurance.
• Generous retirement plan with a 3.5% company match.
• Secure your future with both long and short-term disability options
• Enjoy holiday pay, PTO, and life insurance benefits.
• We offer an employee wellness program and fantastic discounts for all Denova team members.
• And there's so much more waiting for you!

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees