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CertifyOS is building the data infrastructure that powers modern healthcare by automating provider licensing, enrollment, credentialing, and network monitoring through an API-first platform. The company connects directly to hundreds of primary data sources to help healthcare organizations maintain accurate, compliant, and reliable provider networks at scale.
As Credentialing Team Lead, you will lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day execution of credentialing operations for your pod's clients. You report into the Credentialing Manager and are responsible for driving team performance, ensuring compliance and quality, and keeping work aligned with company-wide objectives.
Key responsibilities include: owning core operational metrics (speed, quality, efficiency) and ensuring SLAs are consistently met; monitoring turnaround times and quality metrics daily and weekly to drive corrective actions; identifying process gaps, documenting SOPs, and leading internal training; managing escalations and partnering with cross-functional teams to resolve issues; overseeing monitoring and management of credentialing expirables; supporting workload balancing and capacity planning as volume grows.
You will partner with internal stakeholders to resolve escalations and streamline workflows, communicate performance insights upward to your manager and laterally to peer Team Leads, prepare ad hoc reports and operational analyses, and support direct client engagement where needed.
Team leadership responsibilities include: leading and managing a pod of Credentialing Specialists and Operations Analysts; coaching, mentoring, and training team members to strengthen credentialing knowledge and regulatory compliance; overseeing workflows to ensure adherence to NCQA standards, state guidelines, and client requirements; conducting daily standups and weekly performance reviews; facilitating performance reviews and delivering performance conversations; supporting onboarding of new hires and participating in hiring; identifying attrition risks and proactively raising retention concerns; fostering strong team culture and high-performance mindset.
Required qualifications: 5+ years of professional US-healthtech and 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; metrics-driven mindset with 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; proven ability to manage daily performance metrics and drive accountability.
Preferred: 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.
