Team Lead, Credentialing

🔥 18 hours ago

🇮🇳 India – Remote

⏰ Full Time

🟠 Senior

✨ Team Lead

👻 Ghost score 10%

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CertifyOS

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2021

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 $40M Series B - Certify on 2025-06

Healthcare • SaaS • B2B

CertifyOS is a healthcare-focused provider data platform that consolidates and verifies provider information to create a single, AI-enabled source of truth. It replaces spreadsheets and point solutions with infrastructure for credentialing, contracting, payments, compliance, and provider data management, offering services like credentialing, licensing, monitoring, and roster management. The platform ingests rosters and real-time feeds, validates records against thousands of sources, and delivers a continuous, clean data stream accessible via one API. CertifyOS is positioned as a B2B SaaS solution for health plans, digital health companies, and health systems, claiming measurable operational improvements (e. g. , reduced re-credentialing costs, faster onboarding) and listing major health plans among its clients.

📋 Description

• Lead a production-focused pod of Operations Analysts and Credentialing Specialists • Own day-to-day credentialing operations for the pod's clients • Drive team performance, compliance, quality, and alignment with company objectives • Own operational metrics for speed, quality, and efficiency and ensure SLAs are met • Monitor turnaround times and quality metrics and drive corrective actions • Identify process gaps, document SOPs, and lead internal training • Manage escalations and partner with cross-functional teams to resolve issues • Oversee credentialing expirables and support workload balancing and capacity planning • Communicate performance insights to managers, team members, and peer Team Leads • Prepare ad hoc reports and operational analyses • Support direct client engagement • Coach, mentor, train, and manage Credentialing Specialists and Operations Analysts • Ensure adherence to NCQA standards, state guidelines, and client requirements • Conduct daily standups and weekly performance reviews • Facilitate performance reviews and performance conversations • Support onboarding and hiring for the pod • Identify attrition risks and raise retention concerns • Foster collaboration, engagement, and a high-performance team culture • Report to the Credentialing Manager

🎯 Requirements

• 5+ years of professional US-healthtech and credentialing experience • 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 focused 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 skills • Proven ability to manage daily performance metrics and drive accountability • Knowledge of credentialing processes, provider data management, and healthcare compliance (preferred) • Knowledge of NCQA guidelines and state/federal credentialing regulations • Skills in SQL, Excel Macros, or related analytical tools • Must be legally authorized to work in the country where the role is based

🏖️ Benefits

• 100% coverage of health, dental, and vision insurance premiums for employees • Unlimited PTO for US-based team members, with at least two weeks off each year • Health insurance for employees in India • Statutory leave benefits for employees in India • Additional wellness (menstrual) leave for women in India