Team Lead, Credentialing

This is a fully remote position, open to applicants in India.

📋 Description

• Lead a production-oriented team consisting of Operations Analysts and Credentialing Specialists.

• Manage day-to-day credentialing operations for the clients of the team.

• Enhance team performance, compliance, quality, and alignment with company goals.

• Take ownership of operational metrics regarding speed, quality, and efficiency, ensuring that SLAs are achieved.

• Track turnaround times and quality metrics, implementing corrective actions as necessary.

• Identify process deficiencies, document Standard Operating Procedures (SOPs), and spearhead internal training initiatives.

• Handle escalations and collaborate with cross-functional teams to resolve issues.

• Supervise credentialing expirables while aiding in workload balancing and capacity planning.

• Share performance insights with managers, team members, and fellow Team Leads.

• Compile ad hoc reports and conduct operational analyses.

• Facilitate direct client engagement.

• Coach, mentor, train, and manage the team of Credentialing Specialists and Operations Analysts.

• Ensure compliance with NCQA standards, state regulations, and client specifications.

• Conduct daily standup meetings and weekly performance evaluations.

• Lead performance reviews and discussions regarding performance.

• Assist in onboarding and recruitment for the team.

• Identify risks of attrition and address retention challenges.

• Promote a culture of collaboration, engagement, and high performance within the team.

• Report directly to the Credentialing Manager.

⛳️ Requirements

• Over 5 years of professional experience in US healthtech and credentialing.

• A minimum of 2 years in a management role.

• Demonstrated ability to lead a team of 5 or more in a production-focused environment.

• Experience collaborating with cross-functional and global teams.

• Strong background in client engagement and stakeholder management.

• Metrics-driven approach centered on continuous improvement.

• Ability to balance hands-on execution with long-term operational strategy.

• Exceptional organizational, analytical, and problem-solving capabilities.

• Outstanding written and verbal communication skills.

• Proven track record of managing daily performance metrics and ensuring accountability.

• Familiarity with credentialing processes, provider data management, and healthcare compliance is preferred.

• Knowledge of NCQA guidelines and state/federal credentialing regulations.

• Proficiency in SQL, Excel Macros, or similar analytical tools.

• Must possess legal authorization to work in the country where the position is located.

🏝️ Benefits

• Complete coverage of health, dental, and vision insurance premiums for employees.

• Unlimited paid time off (PTO) for US-based team members, ensuring at least two weeks of time off each year.

• Health insurance coverage for employees located in India.

• Statutory leave benefits available for employees in India.

• Additional wellness leave (menstrual) for women in India.