Delegation Oversight & Compliance Specialist

Overview
Ardent Health is a leading provider of healthcare in communities across the country. With a focus on consumer-friendly processes and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. We are driven by our purpose of caring for people: our patients, our communities and one another.
Located in Brentwood, Tennessee, Ardent has earned a reputation as one of the industry’s strongest and most innovative healthcare systems. Our facilities and clinics are consistently recognized among healthcare’s best employers. We recognize each hospital and clinic is as unique as the community it serves. We strive to maintain strong community ties through advisory boards, contributions, charitable care, education and outreach.
Ardent includes:
30 hospitals
280 sites of care
4,281 beds
24,000+ team members
8,200+ nurses
1,800+ aligned providers
5.8M annual provider encounters
421 medical residents
Ardent makes considerable investments in people, technology, facilities, and communities, producing high quality care and extraordinary results. From newly constructed facilities and expanded services, to lifesaving technology and outstanding opportunities for employees, Ardent is committed to providing its hospitals and clinics the tools needed to succeed.
We believe it is this mix of corporate support and local autonomy that equips our teams for success.
Job Overview:
Executes the operational work of delegation oversight – audit preparation and response, roster accuracy, oversight reporting, and monitoring compliance of credentialing operations against delegation requirements .
Responsibilities
Prepare s files, documentation, and evidence for payer pre-delegation and annual audits .
Collaborate s with Manager of Credentialing to conduct internal file audits against NCQA and payer-specific delegation requirements; document findings and track remediation .
Build s , validate s , and reconcile s delegated rosters for audits prior to submission; investigate and resolve roster discrepancies .
Compile s quarterly and semi-annual oversight reports required under delegation agreements .
Monitor s ongoing compliance of credentialing operations against delegation standards and escalate s gaps .
Maintain s delegation program documentation, polices, agreement records, and audit history .
Support s the Credentials Committee with reporting and materials as directed .
Maintain s historical knowledge of existing network delegation arrangements .
Qualifications
Job Requirements:
4 + years of experience in credentialing, audit, or managed care compliance
Experience with credentialing file audit against defined standards
Strong analytical and reconciliation skills, particularly with roster and provider data
Precise documentation habits and comfort producing audit-ready evidence
Preferred Job Requirements:
CPCS certification, or eligibility with intent to certify
Direct experience supporting payer delegation audits
Roster build and submission experience
Knowledge of NCQA delegation standards

Work arrangement
Yes