Credentialing Team Lead

Process Development & Optimization:

• Provide day-to-day guidance, training, and support to credentialing associates.
• Design, document, and implement scalable credentialing workflows and standard operating procedures.
• Identify and troubleshoot inefficiencies in credentialing and recredentialing processes.

Credentialing Operations & Maintenance:

• Maintain accurate and up-to-date provider information in internal databases and Verifiable.
• Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion.
• Liaise with CVO to resolve any issues or delays in the credentialing process.

Reporting & Data Management:

• Develop and maintain dashboards, reports, and trackers related to provider credentialing and compliance.
• Analyze data to identify trends, delays, or potential risks in credentialing timelines.
• Provide regular updates to leadership on key metrics and process improvements.