Manager Credentialing & Payer Enrollment

Ardent Health • Nashville, TN

14h

About The Position

Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280 sites of care with over 1,800 affiliated providers across six states.
POSITION SUMMARY:
The Manager Credentialing & Payer Enrollment serves as the enterprise lead for all aspects of physician and advanced practice provider credentialing and payer enrollment across Ardent Health Services’ ambulatory portfolio - including physician practices, urgent care centers, and ambulatory surgery centers (ASCs). This position ensures that all credentialing, privileging, and payer enrollment activities are executed with accuracy, compliance, and timeliness in support of Ardent’s system-level goals for access, growth, and revenue integrity. The role will lead the standardization and continuous improvement of credentialing and enrollment processes, oversee vendor relationships (including Symplr and related technology partners), and coordinate closely with market operations, compliance, legal, regulatory and revenue cycle teams. The position reports directly to the SVP, Physician Operations and works in close partnership with corporate and market leadership, market credentialing & enrollment teams, and vendors.

Requirements

• Bachelor’s degree in healthcare/business administration or equivalent work experience relevant to the responsibilities outlined in this role
• 5+ years of experience in physician credentialing and payer enrollment with supervision of team members operating in a healthcare setting

Nice To Haves

• Master’s degree in healthcare administration, business, or related field, preferred.
• Experience managing enterprise credentialing databases and vendor solutions, preferred.
• Knowledge of Joint Commission, CMS, and commercial payer credentialing standards, preferred.
• Proven success in process improvement, project management, and KPI reporting, preferred.
• Excellent communication, organizational, and change management skills, preferred.
• Demonstrated ability to design and optimize end-to-end credentialing processes, preferred.
• Comfortable leading enterprise committees, audits, and compliance reviews, preferred.
• Demonstrated ability to manage and negotiate performance expectations with external partners, preferred.
• Ability to ensure data accuracy, timeliness, and integrity across all credentialing and enrollment systems, preferred.
• Ability to build strong working relationships with clinical and operational leaders across markets. preferred.

Responsibilities

• Manages enterprise-wide credentialing and privileging processes for physicians and advanced practice providers.
• Ensures adherence to Joint Commission, CMS, and state-specific requirements for credentialing and privileging.
• Maintains accurate provider records in central databases and ensures timely updates across stakeholders.
• Directs applications, validations, and terminations to secure timely participation with contracted payers.
• Partners with enrollment and revenue teams to reduce denials and minimize delays tied to credentialing.
• Serves as operational lead for credentialing platforms, optimizing workflows and system performance.
• Establishes policies, oversee performance dashboards, and provide executive-level reporting on credentialing and enrollment.
• Drives initiatives to streamline onboarding, reduce cycle times, and enhance provider satisfaction.
• Supervises staff, supports market teams, and advises on credentialing strategy during acquisitions and integrations.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager