Credentialing Services Supervisor at Delta Dental of Arizona

Description

Delta Dental of Arizona, the state’s #1 dental and vision insurance company, is seeking a Credentialing Services Supervisor to join our high-performing credentialing team. This role is essential in ensuring the integrity and compliance of our provider network through effective credentialing processes and oversight. Reporting to the Director of Compliance, the Credentialing Services Supervisor will lead a team responsible for initial and ongoing credentialing, onboarding, and compliance with National Committee for Quality Assurance (NCQA) and Delta Dental Plans Association standards including the National Provider File (NPF).

The ideal candidate is a detail-oriented, process-driven professional with experience in credentialing operations, provider data management, and regulatory compliance in the dental or healthcare insurance industry. They will oversee performance metrics, drive continuous process improvement, and collaborate cross-functionally to support strategic initiatives. Supervisory experience is preferred. If you’re passionate about quality assurance, operational excellence, and making a meaningful impact in the benefits and wellness industry, we invite you to join our mission-driven team.

About You

As a credentialing leader, you bring a strong background in provider enrollment, credentialing standards, and compliance oversight. You are skilled in managing credentialing systems, interpreting regulatory requirements, and maintaining accurate provider records across multiple networks, including government programs. Your ability to lead teams, monitor performance, and implement process improvements ensures that credentialing operations run efficiently and meet internal and external standards.

Beyond operational leadership, you thrive in collaborative environments, and are proactive in identifying gaps, developing training programs, and supporting audit readiness. Your commitment to service excellence, data integrity, and continuous improvement helps Delta Dental of Arizona maintain a trusted and compliant provider network in a dynamic and highly regulated industry.

Sound like You? Read on! 

Essential Duties

• Coordinates directly with the Director of Compliance to ensure alignment with all departmental and company initiatives, performance guarantees, and internal operational targets.
• Act as the company’s administrator between various operating systems to ensure they are working as expected. 
• Monitors key performance indicators and metrics to assess provider enrollment & credentialing effectiveness, efficiency, and compliance. 
• Responsible for continuous process improvement in provider enrollment and credentialing processes including standardized “Tool Kits”, training programs, and deployment of plans.
• Maintain all providers’ contractual credentialing information for all networks. 
• Run regularly scheduled reports to identify and address any outstanding applications, issues, and expiring information.
• Assist in development, implementation and maintenance of processes that support department and organization goals.
• Monitors the team’s production, quality metrics, and workload distribution, including monthly and yearly review processes for each associate with focus on tangible SMART goals.
• Coordinates with HR to establish and conduct the hiring process and secondary downstream training/support for new associates.
• Provides cross-different support for various activities as needed. 
• Coordinates problem-solving and quality improvement procedures by interacting with other departments to resolve current issues and avoid potential problems, ensuring customer satisfaction and improving business processes.
• Compiles statistical information, collects feedback from staff regarding dental offices and distributes results to management.
• Assists with provider related concerns regarding the credentialing process and tabulates/escalates areas of concern to the credentialing committee for review and determination of a path forward.
• Responsible for any and all audit related matters, including the NPF audit and various credentialing audits.
• Performs miscellaneous duties as assigned.
• Serves as back-up support for other members of credentialing team.

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.

About Us
 

Delta Dental of Arizona’s vision is simple: healthier lives for everyone. That’s why we’ve made it our mission to create a path to better health and wellness. We’re transforming from a single line insurance company to a multi-line health and wellness organization with a foundation that has awarded millions in grants to non-profits who care for our most vulnerable residents by offering dignity and hope.

Our employees enjoy competitive compensation and comprehensive benefits, including medical, dental, vision, 401(k), student loan assistance, six weeks of paid parental leave, volunteer PTO, and a culture that embraces collaboration, service, integrity, and inclusion.  At about 150 employees, we cultivate a work community where all employees are known by name, and everyone’s contributions are visible, noticed, and celebrated.

The starting pay for this role includes an annual base salary of $62,300 to $90,800.