Team Lead, Credentialing
Posted on May 22, 2026 (about 11 hours ago)
About CertifyOS
CertifyOS is building the data infrastructure that powers modern healthcare.
Today, healthcare organizations rely on fragmented and outdated provider data. This creates unnecessary administrative work, regulatory risk, and higher costs across the system. We’re solving that problem.
Our API-first platform automates provider licensing, enrollment, credentialing, and network monitoring by connecting directly to hundreds of primary data sources. We help healthcare organizations maintain accurate, compliant, and reliable provider networks at scale.
Our vision is simple: One API. One provider ID. Frictionless provider data.
We’re backed by leading investors and built by a team with deep experience in provider data systems. At CertifyOS, we value authenticity, accountability, collaboration, results, and openness to feedback. We’re building a high-ownership team focused on solving real infrastructure problems that impact millions of patients.
About the role:
As Certify scales, we need to add rigor & structure to our operational processes to continue driving high customer satisfaction at increasingly attractive unit economics. We’re looking to hire an Operations Team Lead to lead a critical pod of our Credentialing team – someone who combines best-in-class people leadership with strong ownership and a relentless focus on speed & quality. This individual will oversee a production-focused pod made up of operations analysts (OAs).
The Credentialing Team Lead will oversee day-to-day credentialing operations, ensuring compliance with regulatory requirements and internal quality standards. This role requires strong leadership, direct client engagement, and prior stakeholder management experience. The Team Lead will act as a subject matter expert, guiding the team in meeting performance, quality, and compliance expectations. This is a fully remote opportunity.
What You'll Do:
People Management & Team Leadership:
- Lead and manage a team of Credentialing Specialists and Operational Analysts to ensure timely and accurate credentialing file processing.
- Provide coaching, mentoring, and training to team members to strengthen credentialing knowledge and regulatory understanding.
- Oversee credentialing workflows to ensure compliance with NCQA guidelines, state regulatory requirements, and client-specific policies.
- Facilitate company performance reviews and partner with Operations Management to determine performance ratings for OAs on your team, delivering performance review conversations directly.
- Host daily standups as needed and lead weekly performance reviews to align on priorities and identify opportunities for improvement.
- Support onboarding of new hires, provide education during training, and participate in hiring for new OAs.
- Regularly review team performance data and communicate insights upward, downward, and laterally to ensure alignment and accountability.
Production Management:
- Meet core performance metrics for the clients supported by your pod, focusing on speed, quality, and efficiency of file processing and driving continuous improvements.
- Monitor contractual SLAs, turnaround times, and quality metrics; drive corrective actions to maintain compliance and efficiency.
- Partner with internal stakeholders to resolve escalations, streamline workflows, and improve operational outcomes.
- Oversee monthly monitoring and management of credentialing expirables.
- Maintain proactive communication with OAs to keep them unblocked and productive and coordinate with Credentialing Management to prioritize high-impact files.
- Identify process gaps and implement documented improvements, including creating SOPs and ad hoc reports to support operational needs.
What You'll Need:
Credentialing experience is a must have.
- Minimum of 5+ years of overall professional experience, with at least 2 years in a team management role.
- Demonstrated ability to lead and manage a team of 5 or more members.
- Proven experience working effectively with cross-functional teams and collaborating with global teams and stakeholders.
- Demonstrated success in client engagement and managing client relationships; serve as primary point of contact for client meetings and escalations.
- Passion for driving continuous improvement in metrics week over week and the desire to dive deep into processes to understand how they connect to company outcomes.
- Ability to be hands-on and execution-focused in the short term while thinking strategically for long-term success.
- Excellent organization, analytical, problem-solving, written and verbal communication skills, and the ability to manage multiple initiatives in a production environment.
Nice to Have:
- 2-3 years of experience in credentialing, provider enrollment, or healthcare compliance.
- Strong knowledge of NCQA guidelines and state/federal regulatory requirements related to credentialing.
- Proficiency in SQL, Excel Macros, and related data analysis tools.
Benefits of Working at Certify
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 [email protected].
How to Apply
To apply for this role, please use the online application form at: https://jobs.ashbyhq.com/certifyos/5507c3ff-10fd-413b-b2d1-28b7b7924e86/application
You can also click the "Apply for this Job" button on the job page.
Contact
If you require reasonable accommodations during the application process, please contact [email protected].