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Credentialing Team Lead

On-site Full-time

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Experience Level

Manager

Qualifications

Proven experience in credentialing or a related operational field. Strong leadership and team management skills. Excellent communication and interpersonal skills. Ability to work effectively under pressure and meet deadlines. Detail-oriented with a focus on quality and compliance.

About the job

ABOUT CERTIFY:

At Certify, we are dedicated to transforming the way the US healthcare sector manages provider data. Our mission is to lower healthcare costs by simplifying access to provider information and minimizing administrative and regulatory burdens faced by healthcare organizations.

We are at the forefront of innovation in healthcare by establishing the foundational infrastructure for the next generation of provider-centric applications, including network adequacy, accuracy, and provider utilization. As digital health plans and provider care models expand and challenge traditional methods, the necessity for a centralized data framework has become increasingly critical. Our platform aims to be the definitive source of provider data, ensuring that this information is readily accessible and actionable for the entire healthcare ecosystem.

We have developed an API-first, UI-agnostic, end-to-end provider network management platform that automates licensing, enrollment, credentialing, and network monitoring. With direct integrations into hundreds of primary sources, we are uniquely equipped to enhance visibility throughout the provider network management process. Our team boasts over 25 years of combined experience in building provider data systems at Oscar Health, and we are backed by leading venture capital firms that share our vision of creating a unique healthcare cloud that alleviates the complexities surrounding provider data.

At Certify, we are proud to cultivate a meritocratic culture where every voice is valued. Founded on the principles of trust, transparency, and accountability, we strive to challenge the status quo at every turn and seek purpose-driven team members to join us on our journey to redefine healthcare data infrastructure.

ABOUT THE ROLE:

As Certify continues to grow, we are looking to infuse rigor and structure into our operational processes to maintain high levels of customer satisfaction while improving unit economics. We are seeking an Operations Team Lead to manage a key segment of our Credentialing team – someone who embodies exceptional people leadership, strong ownership, and an unwavering focus on speed and quality. This individual will supervise a production-oriented team of operations analysts (OAs).

The Credentialing Team Lead will oversee daily credentialing operations, ensuring compliance with regulatory mandates and internal quality benchmarks. This role demands robust leadership skills, direct client engagement, and a commitment to operational excellence.

About CertifyOS

Certify is innovating the healthcare industry by providing a centralized platform for managing provider data, aimed at reducing costs and enhancing access. With our API-first approach and a dedicated team with extensive experience, we are committed to transforming the healthcare landscape.

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