Team Lead , Credentialing

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• Own core operational metrics for your pod -- speed, quality, and efficiency -- ensuring SLAs are consistently met and quality remains high.
• Monitor turnaround times and quality metrics daily and weekly; drive corrective actions to maintain compliance and efficiency.
• Identify process gaps, document SOPs, and lead internal training to close them.
• Manage escalations for your pod, partnering with cross-functional teams to resolve issues quickly and prevent repeat problems.
• Oversee ongoing monitoring and management of credentialing expirables within your pod.
• Support workload balancing and capacity planning as volume grows, flagging risks to your manager early.

• Partner with internal stakeholders to resolve escalations, streamline workflows, and improve operational outcomes.
• Communicate performance insights upward to your manager, downward to your team, and laterally to peer Team Leads to keep everyone aligned.
• Prepare ad hoc reports and operational analyses to support decision-making.
• Support direct client engagement where needed, representing your pod's work accurately and professionally.

• Lead and manage a pod of Credentialing Specialists and Operations Analysts to ensure timely and accurate file processing.
• Coach, mentor, and train team members to strengthen credentialing knowledge and regulatory compliance.
• Oversee workflows to ensure adherence to NCQA standards, state guidelines, and client requirements.
• Conduct daily standups and weekly performance reviews to track throughput, quality, and key metrics.
• Facilitate performance reviews and deliver performance conversations directly to your team members.
• Support onboarding of new hires, provide guidance during training, and participate in hiring for your pod.
• Identify attrition risks on your team and proactively raise retention concerns to your manager.
• Foster a strong team culture, driving collaboration, engagement, and a high-performance mindset within your pod.

• 5+ years of professional US-healthtech + Credentialing experience, including 2+ years managing a team.
• Proven ability to lead a team of 5+ in a production-driven environment.
• Experience working with cross-functional and global teams.
• Strong client engagement and stakeholder management experience.
• A metrics-driven mindset with a focus on continuous improvement.
• Ability to balance hands-on execution with long-term operational strategy.
• Strong organizational, analytical, and problem-solving skills.
• Excellent written and verbal communication skills.
• Proven ability to manage daily performance metrics and drive accountability.
• Knowledge of credentialing processes, provider data management, and healthcare compliance (preferred).

Nice to Have:

• 1–2 years of experience in credentialing, provider enrollment, or healthcare operations.
• Knowledge of NCQA guidelines and state/federal credentialing regulations.
• Skills in SQL, Excel Macros, or related analytical tools.

• At Certify, we’re building with intention and taking care of the people doing the work.
• Your well-being matters to us. We provide 100% coverage of health, dental, and vision insurance premiums for employees. Our US-based team benefits from unlimited PTO, with at least two weeks off each year to recharge. In India, employees are supported with health insurance, statutory leave benefits, and additional wellness (menstrual) leave for women.

We are an equal opportunity employer committed to building an inclusive environment where everyone feels valued and empowered to do their best work, and we welcome applicants from all backgrounds and experiences.

If you require reasonable accommodations during the application process, please contact recruiting@certifyos.com.

We are also committed to pay transparency and foster an open culture where compensation conversations are encouraged and respected.