Quality & Credentialing Lead

ng other credentialing specialists. You'll be responsible for maintaining quality and compliance standards, improving processes, and ensuring that every provider credential meets state and federal regulations.

This is a player-coach role - part leadership, part execution. You'll set the tone for accuracy, ownership, and accountability while working directly in the credentialing queues yourself. You'll partner with Legal, Operations, and other internal teams to keep our processes compliant, efficient, and ready to scale.

You thrive in fast-paced environments, take initiative without waiting for direction, and balance attention to detail with big-picture thinking. You're organized, confident, and unafraid to ask questions, give feedback, and make improvements. You lead by example, support your team through change, and bring energy, curiosity, and follow-through to everything you do.

Where you'll work

This role is based at our headquarters in Irving, Texas, with a hybrid schedule (Monday and Friday from home; Tuesday through Thursday in the office).

What you'll be doing

• Oversee credentialing activities for a large regional portfolio while directly supporting and guiding one or more credentialing specialists

• Manage a high volume of requests and prioritize effectively to meet deadlines in a dynamic environment.

• Conduct audits and quality checks to ensure legal and regulatory compliance across multiple states.

• Partner with Legal teams to stay aligned with changing state laws and regulations.

• Actively work in the credentialing queue - maintaining your own productivity while guiding others.

• Provide regular feedback and mentorship, acting as a role model for accuracy, ownership, and initiative.

• Identify process gaps and lead continuous improvement efforts to enhance efficiency and compliance.

• Collaborate with internal teams (Legal, Learning & Development, Operations) to implement and document process changes.

• Monitor performance metrics and share insights with leadership.

• Contribute to special projects, compliance initiatives, and policy updates.

What you'll need

• 4+ years of experience in compliance, credentialing, or quality assurance, ideally within a regulated industry such as healthcare or technology.

• Experience managing or mentoring others in a high-volume operational environment.

• Strong project management and prioritization skills.

• Proven ability to audit and improve processes to ensure quality and compliance.

• Excellent attention to detail and documentation.

• Strong analytical and problem-solving mindset with a self-starter attitude.

• Comfortable working cross-functionally and communicating clearly across teams.

• Experience with technology platforms or applications is a plus.

Perks of working for ShiftKey

• Inclusive and collaborative work environment where all voices are valued.

• Hybrid-friendly office spaces designed to be fun and engaging.

• Comprehensive health, vision, and dental coverage.

• Benefits begin on your first day.

• Generous PTO and company-paid holidays, including flexible floating holidays.

• 100% 401(k) employer match up to 6%.

• Paid parental leave.

• Wellness support, including access to mental health resources.

#LI-Hybrid

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]