Team Manager – Healthcare, Credentialing, Claims Processing, Provider Data Management
Job Description:
- Supervise the daily operations of the Credentialing team, including workload distribution, performance management, and staff development
- Ensure provider demographic and credentialing data is accurately entered and maintained in all systems
- Monitor team productivity, quality, and turnaround-time standards
- Provide coaching, mentoring, and performance feedback to team members
- Manage attrition, shrinkage, and other critical team metrics
- Support projects involving system enhancements or process automation
- Ensure credentialing activities comply with regulatory requirements, accreditation standards, health plan policies, contractual requirements, and service-level agreements
- Identify and resolve credentialing issues, discrepancies, and exceptions, escalating complex matters as appropriate
- Ensure primary-source verification and documentation are completed and maintained according to established requirements
Requirements:
- 2+ years’ experience leading a team within the healthcare domain
- Experience with Credentialing
- Knowledge of Claims processing or Provider data Management is an advantage
- Must be Team Manager University certified
- Open availability
- Ability to work in MS Office and other program-specific platforms
- Ability to work in a fast-paced environment
- Ability to proactively develop trust and professional rapport with employees and team members
- Ability to work as a team player
- Strong analytical skills, including interpreting data, identifying trends, and suggesting improvements
- Strong verbal and written communication skills
- Ability to communicate clearly, constructively, and professionally
Benefits:
- Remote work available
- Confidential handling of employee information according to EEO guidelines
- Employment without regard to protected characteristics
- Voluntary Administrative EEO record disclosure; inclusion or exclusion does not affect employment decisions