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CertifyOS is building data infrastructure for modern healthcare, automating provider licensing, enrollment, credentialing, and network monitoring through an API-first platform that connects to hundreds of primary data sources.
As Credentialing Manager, you will lead multiple Team Leads and oversee credentialing operations execution, ensuring efficiency, accuracy, and compliance with healthcare industry standards. This is a high-impact role that owns operational outcomes and supports a high-growth business line.
Key responsibilities include:
Operational Oversight: Own client health as a KPI by driving credentialing performance metrics and ensuring SLAs are consistently met with high quality. Identify and implement process improvements to enhance efficiency, reduce errors, and increase automation adoption. Proactively identify risks, develop mitigation plans, and implement workarounds when external factors impact operations. Manage client escalations and act as the escalation point for complex credentialing challenges. Oversee capacity planning, workload management, and capability building to support scalability.
Cross-Team Collaboration: Partner with internal teams to optimize workflows and automation. Proactively communicate key updates and performance insights to senior leadership with data-driven recommendations. Own client communications and surface signals for product improvements.
Team Leadership: Lead and mentor multiple Credentialing Team Leads, establishing clear performance expectations and providing ongoing coaching. Own core team metrics aligned with company OKRs and regularly track progress. Conduct regular 1:1s to discuss performance, blockers, and growth opportunities. Identify attrition risks and develop retention strategies. Foster strong team culture with collaboration, engagement, and high-performance mindset. Implement best practices for coaching, recognition, and career development.
Required qualifications: Tier-1 operator with leadership experience in high-volume operations. Data-driven mindset with ability to analyze performance trends. Experience managing multiple team leads and scaling operational teams in fast-growing environments. Exceptional organizational and proactive problem-solving skills. Knowledge of credentialing processes, provider data management, and healthcare compliance.