Credentialing Lead

the credentialing process for a high volume of providers, lead credentialing projects and collaborate closely with the Credentialing Director to ensure operational excellence and compliance.

Where you'll work

This is a hybrid role and requires in-office collaboration three times per week. This position is located in Irving,Tx.

What you'll be doing

• Strategic Leadership: Take ownership of the credentialing processes and work collaboratively with internal legal counsel to establish comprehensive healthcare provider onboarding requirements at a national level.

• Project Team Leadership: Lead and guide cross-functional project teams focused on the implementation of new credentials, therapies, specialties, and verticals. Act as a subject matter expert, providing insights and expertise to drive successful project outcomes.

• Process Optimization: Collaborate with quality assurance and training teams to ensure the efficiency and compliance of credentialing processes. Continuously evaluate and enhance operational procedures to achieve best-in-class credentialing practices.

• Mentorship and Management: Manage and mentor a team of credentialing specialists, defining their activities and scope of work. Foster a culture of growth and development within the team while ensuring the highest standards of performance.

• Background Checks and Adjudication: Oversee the investigation and adjudication of fingerprint-based background checks, ensuring thorough assessments in alignment with regulatory standards.

• Stakeholder Engagement: Foster positive relationships between our organization and clients, as well as government agencies, by effectively communicating credentialing processes and addressing concerns.

• Internal Collaboration: Investigate and respond to inquiries and concerns from various internal departments, including legal, revenue, and operations. Collaborate to resolve issues and enhance internal processes.

• Strategic Support: Assist the Credentialing Director in executing larger strategic initiatives related to credentialing operations. Provide insights and recommendations to drive continuous improvement and innovation.

• Compliance and Oversight: Work closely with the Credentialing Director to ensure the overall compliance of credentialing operations with regulatory requirements and industry standards.

• Ad-Hoc Responsibilities: Undertake additional duties as assigned, contributing to the overall success of the credentialing department and organization.

What you'll need

• Minimum of 5 years of experience in healthcare credentialing highly preferred, with at least 2 years in a leadership or senior-level role.

• Effective project management skills, including experience leading cross-functional project teams required.

• Analytical mindset with the ability to make data-driven decisions and drive process improvements.

• Strong knowledge of healthcare credentialing processes, regulations, and industry standards.

• Excellent leadership and team management skills, with a proven ability to mentor and guide a team of professionals.

• Exceptional communication and interpersonal skills to engage with internal stakeholders, clients, and government agencies.

• Bachelor's degree in Healthcare Administration, Business Administration, or related field is preferred but not required

Perks of working for Shiftkey:

• Inclusive and collaborative work environment

• "Cool" office spaces making the hybrid work environment fun and engaging

• Comprehensive health, vision, and dental coverage

• Benefits effective as of first day

• Progressive PTO & Company-paid holidays with a broad selection of floating holidays to honor employees' diverse needs

• 100% 401(k) employer match up to 6%

• Paid parental leave

• Investment in your wellness: access to mental health support

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Our Commitment to Diversity

ShiftKey is an equal opportunity employer and is committed to embracing diverse and individual perspectives shaping our culture and contributing to the solutions that transform the world. We actively work to create an inclusive environment for employees to thrive.

EEO Statement

ShiftKey does not discriminate based on race, religion, color, sex, gender, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by applicable law. All employment is decided based on qualifications, merit, and business needs. ShiftKey is committed to providing reasonable accommodation to applicants with a mental or physical disability, please contact: [email protected]