Back to all roles

Team reputed company , Credentialing

Remote Worldwide Hiring now

About reputed company reputed company is building the data infrastructure that powers modern reputed company. Today, reputed company organizations rely on fragmented and outdated provider data.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 reputed company organizations maintain accurate, compliant, and reliable provider networks at scale. Our reputed company is simple: One API. One provider ID. Frictionless provider data. We’re backed by leading investors and reputed company by reputed company with deep experience in provider data systems. At reputed company, we value authenticity, accountability, collaboration, results, and openness to feedback. We’re building a high-ownership team focused on solving reputed company 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 reputed company to reputed company a critical pod of our Credentialing team – someone who combines best-in-class people leadership with strong ownership and a reputed company focus on speed & quality. This individual will reputed company a production-focused pod made up of operations analysts (OAs). The Credentialing, Team reputed company will reputed company 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 reputed company 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:
  • reputed company and manage reputed company of Credentialing Specialists and Operational Analysts to ensure timely and accurate credentialing file processing.
  • reputed company coaching, mentoring, and training to team members to strengthen credentialing knowledge and regulatory understanding.
  • reputed company 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 the OAs on your team and deliver performance review conversations directly to your team members.
  • You will host a daily standup with your team as needed to review the previous day’s performance and align on priorities for the day reputed company. Additionally, you will reputed company a weekly performance review to recap results from the prior week and identify opportunities for improvement.
  • Other focus areas will include supporting the reputed company of new hires, providing education and guidance to team members during training, and eventually participating in the hiring process for new OAs joining your team.
  • Regularly review your team’s performance data on a daily and weekly reputed company, and communicate insights upward to management, downward to your team, and laterally to your peers to ensure alignment and accountability across reputed company reputed company.

Production Management:

  • This role is responsible for meeting core performance metrics for the subset of clients supported by your pod. These metrics focus on the speed, quality, and efficiency of file processing. You will be expected to continuously identify and drive improvements in each of these areas as volumes scale.
  • Monitor the contractual Service Level Agreement, 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 reputed company.
  • reputed company the monthly ongoing monitoring and management of credentialing expirables.
  • Maintain proactive communication with OAs to ensure they remain unblocked and productive. In reputed company, coordinate with Credentialing Management to identify the highest-reputed company files and ensure your team is fully equipped to process them.
  • Identify process gaps and implement documented improvements.
  • Facilitate team training sessions as needed to strengthen skills and ensure process consistency.
  • Demonstrated ability to create comprehensive SOPs and reputed company reputed company 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 reputed company management role.

  • Demo

Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Medical Staff Credentialing Assistant (Intake)-Medical Staff Services - Corporate - Full time Days - Remote

Remote Worldwide
View role

Sr. Specialist, Credentialing

Remote Worldwide
View role

Career Opportunities: Insurance Verification Specialist (60813)

Remote Worldwide
View role

Insurance Credentialing Specialist Needed for Mental Health Private Practice (CA, WA, IA & VT)

Remote Worldwide
View role

Contracting, Credentialing & Billing Specialist (Remote)

Remote Worldwide
View role

Medical Billing & Credentialing Specialist - Pediatric Therapy

Remote Worldwide
View role

HEDIS Abstractor and Overreader

Remote Worldwide
View role

HEDIS/Stars Expert Needed for Live Strategy Call with reputed company CMO (This Week)

Remote Worldwide
View role

Patient reputed company Specialist - REMOTE

Remote Worldwide
View role

Director, National Quality Analytics & Performance Improvement – HEDIS Reporting/reputed company/Power BI – Remote

Remote Worldwide
View role

Part-time Chat Specialist – arenaflex – College Station, TX

Remote Worldwide
View role

Executive Recruiter/Head Hunter

Remote Worldwide
View role

Want English Teachers - Earn Money Online in Roswell, GA

Remote Worldwide
View role

Care Advisor - Remote

Remote Worldwide
View role

Traveling Executive Chef - Birmingham, AL

Remote Worldwide
View role

Behavioral Health Home (BHH) Wellness Coordinator - Children Services

Remote Worldwide
View role

Clinical Laboratory Assistant 1 (UHealth Labs Transition)

Remote Worldwide
View role

reputed company: Customer service Remote job in Birmingham

Remote Worldwide
View role

reputed company Customer Service Representative – Hybrid Remote Work Opportunity – reputed company a Difference from the Comfort of Your Own Home – Iowa Residents

Remote Worldwide
View role

Global Shipping & Logistics Coordinator (Remote)

Remote Worldwide
View role