Team Manager – Healthcare, Credentialing, Claims Processing, Provider Data Management

This is a fully remote position, open to applicants in Egypt, +1 more country.

📋 Description

• Oversee the daily activities of the Credentialing team, including the distribution of workload, management of performance, and development of staff.

• Ensure that provider demographic and credentialing information is correctly entered and maintained across all systems.

• Track team productivity, quality metrics, and turnaround time standards.

• Provide coaching, mentoring, and performance feedback to team members.

• Manage attrition, shrinkage, and other essential team metrics.

• Assist with projects related to system improvements or process automation.

• Ensure that credentialing activities adhere to regulatory requirements, accreditation standards, health plan policies, contractual obligations, and service-level agreements.

• Identify and address credentialing issues, discrepancies, and exceptions, escalating complex cases as necessary.

• Ensure that primary-source verification and documentation is completed and maintained in accordance with established requirements.

⛳️ Requirements

• Minimum of 2 years’ experience in a leadership role within the healthcare sector.

• Experience in Credentialing is essential.

• Familiarity with Claims processing or Provider data Management is a plus.

• Must possess Team Manager University certification.

• Availability to work flexible hours.

• Proficient in MS Office and other program-specific software.

• Ability to thrive in a fast-paced environment.

• Capacity to build trust and professional relationships with employees and teammates.

• Ability to function effectively as a team player.

• Strong analytical skills, including the ability to interpret data, identify trends, and recommend improvements.

• Excellent verbal and written communication skills.

• Ability to communicate clearly, constructively, and professionally.

🏝️ Benefits

• Remote work options available.

• Confidential management of employee information in accordance with EEO guidelines.

• Employment decisions made without regard to protected characteristics.

• Voluntary disclosure of Administrative EEO records; inclusion or exclusion does not impact employment decisions.