Credentialing, Team Lead

What You'll Do:

• Lead and manage a team of Credentialing Specialists and Operational Analysts to ensure timely and accurate credentialing file processing.
• Provide coaching, mentoring, and training to team members to strengthen credentialing knowledge and regulatory understanding.
• Oversee credentialing workflows to ensure compliance with NCQA guidelines, state regulatory requirements, and client-specific policies.

Production Management:

• This role is responsible for meeting core performance metrics for the subset of clients supported by your pod.
• Monitor the contractual Service Level Agreement, turnaround times, and quality metrics; drive corrective actions to maintain compliance and efficiency.
• Partner with internal stakeholders to resolve escalations, streamline workflows, and improve operational outcomes.

What You'll Need:

• Minimum of 5+ years of overall professional experience, with at least 2 years in a team management role.
• Demonstrated ability to lead and manage a team of 5 or more members.
• Proven experience working effectively with cross-functional teams.