Senior Credentialing Team Lead

• Include a short customized cover letter - why are you the best fit for the role
• When you upload your resume please upload in PDF format
• Ability to speak eloquently about past accomplishments
• 1-5 years of previous credentialing experience and/or leadership experience
• Fully understand CAQH Attestations and processing
• Familiarity with NCQA standards

• Provide oversight and strategic direction for the provider enrollment and onboarding functions across all assigned regions ensuring compliance with payer delegation requirements and internal performance standards.
• Supervise and support multiple Team Leads responsible for Licensed Psychologist enrollment teams ensuring consistent execution of workflows and adherence to timelines.
• Monitor overall team performance metrics file submission rates and payer turnaround times to ensure timely and accurate enrollment outcomes.
• Serve as a key escalation point for complex or high-impact contracting and credentialing issues; facilitate resolution with payers and internal leadership.
• Oversee development training and performance of Team Leads including conducting leadership one-on-ones team calibration meetings and performance reviews.
• Ensure that all team leads are effectively managing their direct reports maintaining accountability for timecards task assignments and workload completion.
• Oversee maintenance and accuracy of the provider enrollment database ensuring data integrity and timely updates across all teams.
• Evaluate provider application processes identify operational bottlenecks and implement improvements to enhance efficiency and compliance.
• Oversee monthly expirations and attestations ensuring all regions meet renewal deadlines and maintain active provider statuses.
• Lead the development and continual improvement of standard operating procedures (SOPs) workflows and training materials to maintain consistency across internal and external (outsourced) teams.
• Monitor the central inbox process and ensure timely professional communication standards are upheld across all teams.
• Review and distribute provider change termination and location update reports ensuring follow-up and proper documentation.
• Collaborate with cross-functional leaders in Credentialing Compliance and Operations to align on priorities resolve escalations and support strategic initiatives.
• Lead new team lead onboarding and oversee comprehensive training programs for new hires and internal promotions.
• Provide executive-level reporting and analysis of team productivity quality and compliance metrics.
• Partner with the Credentialing Director to oversee and execute all delegated payer functions in alignment with organizational and payer requirements.
• Maintain proficiency in Google Workspace Excel Word and Salesforce and support adoption of new technologies or tools that enhance team performance.

• Demonstrate a high level of accuracy proficiency and attention to detail in all tasks.
• Maintain strong organizational and planning skills to effectively manage priorities and workload.
• Communicate proactively clearly and consistently with the Credentialing Manager and team members.
• Be open approachable and receptive to feedback demonstrating a commitment to continuous improvement.
• Consistently meet deadlines and team goals through focus accountability and follow-through.
• Exhibit strong problem-solving skills and actively contribute to improving processes and efficiencies.
• Uphold a professional solutions-driven mindset that supports collaboration and operational excellence.

• Competitive compensation of$60000- $65000 depending on experience
• 10 days PTO 10 days paid holiday 1 floating holiday 2 flex days
• Health dental and vision insurance covered at up to 90% by the employer
• A fun relaxed work environment with a great team
• Job training

Required Experience:

Senior IC