Credentialing Services Supervisor

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $65.4k - $94k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Delta Dental of Arkansas

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🍽️ Food & Beverage

📦 Logistics

Healthcare • Food & Beverage • Logistics

Delta Dental of Arkansas is a provider of dental and vision insurance plans. The company offers a range of insurance products for individuals, families, small businesses, and large enterprises, including dental and vision insurance plans. Delta Dental of Arkansas is part of the national Delta Dental Plans Association, which provides dental coverage in all 50 states, Puerto Rico, and other U. S. territories. They focus on creating healthy smiles and also extend their services to cover hearing discounts. Delta Dental of Arkansas is committed to giving back to the community through the Delta Dental of Arkansas Foundation, which provides funding opportunities and donations. They support oral health through various programs and resources available to members and dental providers.

📋 Description

• Oversee day-to-day operations of the Credentialing team • Coordinate initial and ongoing compliance with NCQA and Delta Dental Plans Association standards, including the National Provider File • Ensure Credentialing and provider onboarding functions follow department policies and procedures • Work with provider services associates, providers, and external clients to ensure satisfaction and timeliness • Generate performance measures and monitor performance against goals • Coordinate with the Director of Compliance on departmental and company initiatives, performance guarantees, and operational targets • Administer Symplr and DDMI provider systems • Monitor KPIs and metrics for provider enrollment and credentialing effectiveness, efficiency, and compliance • Lead continuous process improvement, standardized toolkits, training programs, and plan deployment • Maintain contractual credentialing information for providers across all networks, including Medicare Advantage and Medicaid • Run reports to identify and address outstanding applications, issues, and expiring information • Monitor team production, quality metrics, workload distribution, and SMART goals • Coordinate hiring and downstream training/support for new associates with HR • Provide cross-departmental support for PR and claims activities • Resolve issues and improve business processes with other departments • Compile statistical information and distribute results to management • Address provider credentialing concerns and escalate issues to the credentialing committee • Manage NPF and other credentialing audits • Serve as backup support for other credentialing team members • Perform miscellaneous duties as assigned

🎯 Requirements

• Bachelor’s degree from an accredited college or university or equivalent experience • Experience in the dental field preferred • Supervisory experience preferred • Working knowledge of state and federal insurance regulations, ERISA, and ASO agreements • Working knowledge of credentialing standards and processes • Understanding of dental insurance products and industry trends • Proven customer service and relationship building skills • Solid analytical and problem-solving skills • Excellent verbal and written communication skills • Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint • Process and project management experience required • Ability to coach and support a cohesive team • Must verify identity and eligibility to work in the United States • Must complete the required employment eligibility verification form upon hire

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) • Student loan assistance • Six weeks of paid parental leave • Volunteer PTO • Collaborative, service-oriented, integrity-focused, and inclusive workplace culture