Director, Credentialing

Medallion

75d • $125,000 - $145,000

About The Position

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 Manager'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. This role reports to the Director of Operations, and base compensation may land between $125,000-$145,000. In addition to base salary, Medallion offers equity and benefits as part of the total compensation package. Many factors are considered when determining pay including: market data, geographic location, skills, qualifications, experience, and level.

Requirements

• 6+ years of provider credentialing experience, specifically working with NCQA criteria
• 2+ years of experience managing 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

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.
• Other duties as assigned

Benefits

• Equity
• Comprehensive benefits package

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees