Credentialing Team Lead

Job Summary

To enhance operational efficiency, the full-time remote Credentialing Team Lead will supervise credentialing workflows, manage a team of associates, and develop scalable processes to ensure timely provider credentialing and recredentialing.

Key responsibilities

• Provide guidance and training to credentialing associates while optimizing credentialing workflows and standard operating procedures
• Maintain accurate provider information and track credentialing deadlines to ensure timely completion of processes
• Develop dashboards and reports to analyze credentialing data, identifying trends and providing updates to leadership

Required qualifications

• 3+ years of experience in healthcare credentialing or operations in a payer or provider setting
• 1+ years of supervisory experience in credentialing
• Strong understanding of NCQA credentialing requirements and best practices
• Proficiency in Microsoft Excel/Google Sheets and experience with credentialing software
• Experience in behavioral health or mental health provider credentialing