Supervisor, Credentialing (Remote)

Professional Health Care Network d/b/a tango manages the home health benefit for major insurance plans with a focus on Medicare Advantage and managed Medicaid patients. tango reviews home health care referrals for appropriateness and then coordinates with a network of contracted agencies to provide the care needed for patients. On an ongoing basis, we provide review and oversight of clinical care and determine further authorizations.

tango is looking for a detailed oriented, self-motivated, process driven, supervisor to work directly with our Senior Manager of Network Operations to play a crucial role in ensuring that our providers maintain the highest level of professional qualifications and comply with all regulatory standards. Responsible for overseeing the credentialing process, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance with accreditation and certification requirements. Additionally, the Credentialing Supervisor will support managing credentialing email box, and work together with Senior Manager of Network Operations, Director of Network, and VP of Network to strategically optimize existing workflows from credentialing approval to provider training.

Responsibilities

Essential functions of the job are listed below. Other responsibilities may also be assigned. Please note that the essential functions may vary depending on department size, organizational structure and/or geographic location. Reasonable accommodations may be made to allow differently-abled individuals to perform the essential functions of the job.

Primary Responsibilities

• Supervise and mentor a team of credentialing specialists, ensuring workload distribution, quality, and productivity goals are met.
• Oversee daily credentialing activities including initial applications, recredentialing, and ongoing monitoring.
• Perform quality checks and audits on files to ensure compliance with organizational policies and regulatory standards.
• Support the Credentialing Manager in implementing process improvements and standard operating procedures.
• Serve as a subject matter expert and point of escalation for complex or high-priority credentialing issues.
• Coordinate with internal departments such as Provider Relations, Network Operations, and Compliance to resolve credentialing barriers or data discrepancies.
• Assist in preparing reports, metrics, and dashboards for leadership review.
• Participate in the onboarding and training of new credentialing staff.
• Support internal and external audits and regulatory surveys as needed.
• Maintain accurate documentation in credentialing systems and ensure data integrity across platforms (e.g., Symplr).

Additional Responsibilities

• Additional duties may involve support in training new team members and collaborating with cross-departmental teams to ensure a smooth Provider Onboarding process.

Supervisory Responsibilities

• Providing daily task oversight and guidance to the Credentialing team.
• Monitoring team workflows and workloads to ensure adherence to timelines and service-level expectations.
• Offering real-time coaching and support to resolve process questions or issues.
• Reviewing credential files for accuracy and compliance prior to final review by the Manager.
• Assisting with onboarding and ongoing training of Credentialing Specialists.
• Identifying performance or process gaps and escalating concerns or development needs to the Credentialing Manager.
• Supporting the Manager in fostering a positive, accountable, and high-performing team culture.

Direct Reports

• Credentialing Specialists I and II.

Minimum Qualifications:

The following are the minimum qualifications that an individual needs in order to successfully perform the duties and responsibilities of this position. Please note that the minimum qualifications may vary based upon the department size and/or geographic location.

Knowledge/ Experience

• Equivalent to high school diploma.
• Proficient use of Microsoft Office and Adobe applications (Word, Excel, Powerpoint, etc).
• Consistent and reliable WiFi.
• Experience in healthcare (home health or credentialing a plus), or similar role, preferred but not required.

Skills/ Abilities Pertinent to This Position

• Strong attention to detail.
• Strong follow-through and follow-up.
• Strong problem-solving and research skills.
• Communication skills
• Organization and planning.
• Experience with working with several different software platforms concurrently.

PHYSICAL DEMANDS

In general, the following physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to allow differently-abled individuals to perform the essential functions of the job.

Must be able to see, hear, speak and write clearly in order to communicate with employees and/or other customers; manual dexterity required for occasional reaching and lifting of small objects, and operating office equipment. Travels as required to meet accountabilities.

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.