Ardent Health · 8 hours ago
Manager Credentialing & Payer Enrollment
Nashville, TN
Full-time
Onsite
Senior Level
5+ years expArdent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. The Manager Credentialing & Payer Enrollment serves as the enterprise lead for all aspects of physician and advanced practice provider credentialing and payer enrollment, ensuring compliance and efficiency in processes across the organization.
Health CareMedical
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
Qualification
Required
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
Preferred
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
Company
Ardent Health
Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$1.28BKey Investors
Pure Health
2025-09-22Post Ipo Debt· $777.5M
2024-07-18IPO
2022-09-04Secondary Market· $500M
Leadership Team
Marty Bonick
President & Chief Executive Officer
Recent News
Business Wire
2025-11-14
Company data provided by crunchbase