Credentialing - Team Lead
Posted on January 22, 2026 (about 4 hours ago)
ABOUT CERTIFY:
We are on a mission to change how the US healthcare industry deals with provider data. Our goal is to reduce the cost of healthcare by streamlining access to provider data and reducing administrative and regulatory burden on healthcare organizations.
Certify is revolutionizing the healthcare industry by laying the infrastructure upon which the next generation of provider-centric applications (network adequacy, accuracy, provider utilization, etc.) will be built. Our platform will support the future of healthcare innovation by becoming the source of truth of provider data and making that data easily accessible and actionable for the entire healthcare ecosystem.
We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into hundreds of primary sources, we are positioned to enhance visibility into the provider network management process. Our team has more than 25+ years of combined experience building provider data systems and is backed by top-tier VC firms.
At Certify, we pride ourselves on fostering a meritocratic environment founded on trust, transparency, and accountability. We look for purpose-driven team members to share our journey in redefining healthcare data infrastructure.
ABOUT THE ROLE:
As Certify scales, we are adding rigor and structure to operations to maintain high customer satisfaction and attractive unit economics. The Credentialing Team Lead will oversee a production-focused pod of operations analysts, ensuring day-to-day credentialing operations meet regulatory and quality standards. This is a fully remote role that requires people leadership, client engagement, and stakeholder management.
WHAT YOU'LL DO
- People Management & Team Leadership:
- Lead and manage a team of Credentialing Specialists and Operations Analysts to ensure timely and accurate credentialing file processing.
- Provide coaching, mentoring, and training to strengthen credentialing knowledge and regulatory understanding.
- Oversee workflows to ensure compliance with NCQA guidelines, state regulatory requirements, and client-specific policies.
- Facilitate performance reviews and partner with Operations Management on performance ratings and conversations.
- Host daily standups and weekly performance reviews to align priorities and identify improvements.
- Support onboarding, training, and hiring processes for new team members.
- Regularly review performance data and communicate insights across the organization.
- Production Management:
- Own core performance metrics for your pod, focusing on speed, quality, and efficiency of file processing.
- Monitor SLAs, turnaround times, and quality metrics; drive corrective actions as needed.
- Partner with stakeholders to resolve escalations, streamline workflows, and improve outcomes.
- Oversee monthly monitoring and management of credentialing expirables.
- Identify process gaps and implement documented improvements and SOPs.
- Create ad hoc reports and facilitate training to ensure process consistency.
WHAT YOU'LL NEED
- Minimum of 5+ years of professional experience, with at least 2 years in a team management role.
- Experience leading and managing teams of 5 or more members.
- Proven experience working effectively with cross-functional and global teams.
- Experience in client engagement and managing client relationships.
- Strong focus on continuous improvement and ability to dive deep into processes.
- Hands-on execution orientation with strategic thinking for long-term success.
- Excellent organization, attention to detail, analytical, and problem-solving skills.
- Excellent written and verbal communication skills and proven ability to manage production environments.
NICE TO HAVE
- 2-3 years of experience in credentialing, provider enrollment, or healthcare compliance.
- Knowledge of NCQA guidelines and state/federal regulatory requirements related to credentialing.
- Proficiency in SQL, Excel Macros, and related data analysis tools.
COMPENSATION
$70,000 - $100,000 a year
How to Apply
To apply for this role, please use the application link provided by the job posting.
Application Link
https://jobs.lever.co/certifyos/ec2e027c-432a-4237-abb0-8fa5a4b91900/apply