Credentialing Manager

Accountabilities

• • Own credentialing operational performance, using client health, quality, efficiency, and SLA metrics to drive consistent operating excellence.
  • Lead and mentor multiple Credentialing Team Leads, establishing clear expectations and ensuring their teams achieve targets for speed, quality, and efficiency.
  • Monitor core operational KPIs, identify trends and performance gaps, and provide data-driven recommendations to senior leadership.
  • Identify and implement process improvements that increase efficiency, reduce errors, strengthen quality, and accelerate adoption of automation.
  • Ensure business continuity by proactively identifying operational risks, developing mitigation plans, and implementing effective workarounds when external factors affect service delivery.
  • Act as the escalation point for complex credentialing challenges and client issues, driving timely resolution while minimizing operational and customer impact.
  • Own client communications and surface recurring issues, insights, and opportunities that can improve service outcomes and inform product enhancements.
  • Partner with internal teams to optimize workflows, improve processes, and strengthen collaboration across operations and technology functions.
  • Oversee capacity planning, workload allocation, and capability-building initiatives to support sustainable operational growth.
  • Conduct regular one-on-one meetings with Team Leads to review performance, remove blockers, and identify development opportunities.
  • Cascade organizational goals and OKRs to team level, ensuring employees remain focused on high-impact priorities.
  • Identify attrition risks and develop proactive retention strategies to engage high performers and strengthen team stability.
  • Foster a collaborative, accountable, and high-performance culture through effective coaching, recognition, feedback, and career development.

  Requirements

  • Demonstrated leadership experience in a high-volume operations environment, ideally within healthcare, credentialing, provider data, or a similarly regulated industry.
  • Proven experience managing multiple team leads and scaling operational teams in a fast-growing organization.
  • Strong knowledge of credentialing processes, provider data management, and healthcare compliance requirements.
  • Highly data-driven approach, with the ability to analyze performance trends, identify root causes, and translate insights into operational improvements.
  • Strong organizational and prioritization skills, with the ability to manage multiple priorities and complex operational challenges simultaneously.
  • Exceptional proactive problem-solving abilities and sound judgment when managing escalations, risks, and business continuity issues.
  • Strong understanding of operational KPIs, SLA management, quality assurance, capacity planning, and performance management.
  • Excellent communication and stakeholder-management skills, with confidence interacting with clients, senior leaders, and cross-functional teams.
  • Proven ability to coach, mentor, motivate, and develop managers and operational teams.
  • Ability to work effectively in a fast-paced, high-growth environment where priorities can evolve quickly.
  • Strong ownership mindset, accountability, and commitment to delivering measurable business and client outcomes.
  • Comfortable using data and technology to optimize workflows and support scalable operations.

  Benefits

  • Remote work opportunity based in India, with roles available in Bengaluru and Pune.
  • Health insurance support for employees in India.
  • Statutory leave benefits.
  • Additional wellness and menstrual leave for eligible women employees.
  • Inclusive and supportive work environment focused on employee wellbeing and development.
  • High-ownership role with significant influence over operational performance and business outcomes.
  • Opportunity to work on healthcare infrastructure and provider-data challenges with broad industry impact.
  • Exposure to a fast-growing environment where process improvement, automation, and operational scalability are key priorities.
  • Opportunities to develop leadership capabilities while managing and mentoring multiple operational teams.
  • Culture centered on authenticity, accountability, collaboration, results, and openness to feedback.
  • Commitment to equal opportunity, inclusion, and reasonable accommodations throughout the employment process.
  • Open and transparent approach to compensation and employee communication.