JobTarget Logo

Credentialing Supervisor at Clear Lake Specialties PA – Webster, Texas

Clear Lake Specialties PA
Webster, Texas, 77598, United States
Posted on
Updated on
Job Function:Human Resources

Explore Related Opportunities

About This Position

Description:

About CLS Health

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!

Position Summary

The Credentialing Supervisor oversees the daily operations of the credentialing and recredentialing team, ensuring timely, accurate, and compliant onboarding and maintenance of provider credentials. This role is responsible for staff supervision, workflow optimization, quality assurance, and adherence to regulatory and accreditation standards.


Key Responsibilities
  • Supervise and support a team of credentialing specialists, including training, coaching, and performance management
  • Oversee end-to-end provider credentialing and recredentialing processes for physicians, advanced practice providers, and allied health professionals
  • Ensure compliance with CMS, NCQA, URAC, state, federal, and payer-specific credentialing requirements
  • Review and approve credentialing files for completeness, accuracy, and audit readiness
  • Serve as escalation point for complex or high-risk credentialing issues
  • Monitor workload distribution, turnaround times, and productivity metrics
  • Develop and maintain credentialing policies, procedures, and standard work
  • Partner with internal stakeholders (HR, Provider Operations, Compliance, Legal, Payer Enrollment) to streamline provider onboarding
  • Prepare for and participate in internal and external audits and accreditation surveys
  • Identify process improvement opportunities and implement best practices
  • Maintain confidentiality of sensitive provider and organizational information
Requirements:
  • Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field (or equivalent experience)
  • Minimum 3 years of healthcare credentialing experience
  • Prior leadership or supervisory experience required
  • Strong working knowledge of credentialing regulations and accreditation standards (NCQA, CMS, URAC, Joint Commission, etc.)
  • Experience with credentialing software systems (e.g., Verifiable, Cactus, symplr, MD-Staff, CAQH)
  • Excellent attention to detail, organizational skills, and time management
  • Strong written and verbal communication skills
Preferred Qualifications
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
  • Experience supporting multi-state or large provider networks
  • Process improvement or quality assurance experience
  • Familiarity with payer enrollment and delegated credentialing
Competencies & Skills
  • Leadership and team development
  • Regulatory compliance
  • Problem-solving and decision-making
  • Stakeholder collaboration
  • Data tracking and reporting
  • Change management
Work Environment & Physical Requirements
  • Primarily office-based with prolonged periods of sitting and computer use
Why Join Us?
  • Competitive compensation and benefits
  • Opportunity to lead and influence credentialing operations
  • Collaborative, mission-driven healthcare environment
  • Growth and professional development opportunities

Job Location

Webster, Texas, 77598, United States

Frequently asked questions about this position

Apply For This Position