Team Lead , Credentialing

Ovii's Interpretation of the Role

We are seeking a remote Operations Team Lead to head a credentialing pod, managing analysts and specialists while ensuring regulatory compliance and client satisfaction. The role blends people leadership, process optimization, and direct client engagement within the healthcare data space.

Role Snapshot

• Lead Credentialing Operations pod
• Manage 5+ analysts & specialists
• Ensure NCQA & state regulatory compliance
• Drive speed, quality, and efficiency metrics
• Own client engagement and escalation handling
• Develop SOPs and performance reporting

Must-Have Requirements

• Credentialing experience
• Team management (5+ members)
• Regulatory compliance knowledge (NCQA, state)
• Client engagement and escalation handling
• Strong communication (written & verbal)
• Process improvement mindset
• credentialing operations
• team leadership

Nice-to-Have Signals

• Knowledge of NCQA guidelines
• SQL proficiency
• Excel macros
• Exposure to global team collaboration
• NCQA compliance
• SQL data analysis

Work Setup

• Location: United States
• Work mode: REMOTE
• Remote scope: COUNTRY_RESTRICTED
• Remote countries: United States
• Employment type: Full-Time

Not Specified in JD

• Visa sponsorship
• Salary range
• Education requirement

What You'll Likely Work On

• Manage and mentor a team of Credentialing Specialists and Operational Analysts
• Oversee credentialing workflows to meet NCQA, state, and client policy requirements
• Conduct daily stand‑ups, weekly performance reviews, and formal performance evaluations
• Monitor SLA, turnaround times, and quality metrics; drive corrective actions
• Partner with cross‑functional stakeholders to resolve escalations and streamline processes
• Maintain monthly monitoring of credentialing expirables and ensure timely renewals
• Identify process gaps, create SOPs, and produce ad‑hoc operational reports
• Support onboarding, training, and hiring of new analysts

Good Fit If You Have

• Excellent written and verbal communication
• Analytical mindset with strong problem‑solving skills
• Detail‑oriented and organized in a fast‑paced production environment
• Passion for continuous improvement of operational metrics