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Job Description

Our Credentialing team is core to our business and is responsible for making sure all of the licensing and credentialing tasks that we take on for our customers is completed efficiently and accurately. As a Credentialing Manager, you will be responsible for overseeing the day-to-day activities of the Credentialing department to ensure smooth and efficient operations.

The Credentialing Director's primary objective is to develop a comprehensive understanding of Medallion's credentialing processes and client-specific workflows. They will leverage this expertise to effectively guide and communicate these processes and workflows to the credentialing team, ensuring seamless execution and alignment with client expectations. This role will have a strong understanding of NCQA complaint credentialing along with the ability to adapt our credentialing workflows to meet client demands.

Core Responsibilities:

Oversee and manage day-to-day operational tasks, ensuring alignment with organizational objectives.

Develop, implement, and enforce operational policies and procedures.

Provide Credentialing team with the tools and training needed for professional growth and success.

Collaborate across departments to optimize workflows and ensure seamless operations.

Resolve day-to-day questions and blockers for your team and escalate priority issues when needed.

Develop measurable goals and performance metrics to evaluate team and operational success.

Continuously evaluate resource utilization and suggest improvements for better outcomes.

Supervise and coordinate activities with offshore teams.

Identify opportunities for process enhancements and drive efficiency improvements.

Focused on delivering a successful outcome for our clients and able to adapt workflows to accommodate client requests.

Establish and uphold quality control measures to ensure exceptional service delivery.

Collaborate with leadership to align operational initiatives with broader strategic goals.

Take on additional responsibilities as needed to support the organization’s growth.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

8+ years of provider credentialing experience, specifically working with NCQA criteria and Joint Commissions Standards

4+ years of experience managing credentialing teams, specifically CVO-style credentialing teams

Experience working in credentialing software systems

Computer literacy in Google Suite and Microsoft Office products

Experience in a client facing role

Demonstrated ability to manage multiple priorities in a fast-paced environment

Strong organizational and time management skills

Attention to detail and a high degree of accuracy in work

Excellent interpersonal skills and ability to work with and manage a variety of people Startup and High Growth Company Experience

Experience working with offshore teams

CVO Style Credentialing Leadership Experience