[Hiring] Team Lead, Credentialing @CertifyOS

Role Description

As Credentialing Team Lead, you will lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning the day-to-day execution of credentialing operations for your pod's clients. You will be responsible for driving team performance, ensuring compliance and quality, and keeping your pod's work aligned with company-wide objectives. This role requires a balance of hands-on operational ownership, direct people leadership, and proactive problem-solving to keep your pod scaling effectively.

This is a high-visibility role that owns outcomes for a subset of clients and reports into the Credentialing Manager. This is a fully remote role aligned to EST hours.

What You’ll Do

• Production Management & Business Continuity
  • 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.
• Cross-Team Collaboration & Communication
  • 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.
• Team Leadership & Performance Management
  • 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.

Qualifications

• 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.

Benefits

• 100% coverage of health, dental, and vision insurance premiums for employees.
• Unlimited PTO, with at least two weeks off each year to recharge for US-based team members.
• Health insurance, statutory leave benefits, and additional wellness (menstrual) leave for women in India.