Credentialing Manager

About CertifyOS

CertifyOS is building the data infrastructure that powers modern healthcare. Today, healthcare organizations rely on fragmented and outdated provider data, creating unnecessary administrative work, regulatory risk, and higher costs. Our API-first platform automates provider licensing, enrollment, credentialing, and network monitoring by connecting directly to hundreds of primary data sources. We help healthcare organizations maintain accurate, compliant, and reliable provider networks at scale.

Our vision is simple: One API. One provider ID. Frictionless provider data.

We’re backed by leading investors and built by a team with deep experience in provider data systems. At CertifyOS, we value authenticity, accountability, collaboration, results, and openness to feedback. We’re building a high-ownership team focused on solving real infrastructure problems that impact millions of patients.

About the Role

As Credentialing Manager, you will lead multiple Team Leads and oversee the execution of credentialing operations, ensuring efficiency, accuracy, and compliance with industry standards. You will be responsible for driving team performance, optimizing processes, and ensuring alignment with company-wide objectives. This role requires a balance of strategic oversight, hands-on operations leadership, proactive governance, and risk management to scale our credentialing operations effectively.

This is a high-impact, high-visibility role that owns outcomes and supports a high-growth line-of-business.

What You’ll Do

Operational Oversight and Business Continuity

• Own client health as a KPI, led by operating excellence and drive credentialing performance metrics ensuring SLAs are consistently met and quality remains high.

• Identify and implement process improvements to enhance efficiency, reduce errors, and increase automation adoption.

• Ensure business continuity by proactively identifying risks, developing mitigation plans, and implementing workarounds when external factors impact operations.

• Manage client escalations, working closely with internal teams to resolve issues efficiently while minimizing business and client impact.

• Act as the escalation point for complex credentialing challenges, ensuring timely resolution and process refinements to prevent future occurrences.

• Oversee capacity planning, workload management, and capability building initiatives to support scalability.

Cross-Team Collaboration and Communication

• Partner with internal teams to optimize workflows and automation.

• Proactively communicate key updates and performance insights to senior leadership, providing data-driven recommendations.

• Own client communications and surface signals that lead to opportunities for better outcomes and/or product improvements.

Team Leadership & Performance Management

• Lead and mentor multiple Credentialing Team Leads, ensuring their teams meet operational targets for speed, quality, and efficiency.

• Establish clear performance expectations and provide ongoing coaching and development to improve team effectiveness.

• Own core team metrics, ensuring performance aligns with company-wide OKRs. Regularly track and report progress to senior leadership, identifying key trends and areas for improvement.

• Ensure company-wide goals are cascaded to the team level, keeping teams focused on high-impact initiatives that align with business priorities.

• Conduct regular 1:1s with Team Leads to discuss performance metrics, blockers, and growth opportunities.

• Identify attrition risks and proactively develop retention strategies to engage and retain high performers.

• Foster a strong team culture, driving collaboration, engagement, and a high-performance mindset across all levels.

• Implement best practices for coaching, recognition, and career development, ensuring team members are motivated and supported in their growth.

What You’ll Need

• A tier-1 operator with leadership experience in a high-volume operations environment.

• A data-driven mindset, with the ability to analyze performance trends and implement improvements.

• Experience managing multiple team leads and scaling operational teams in a fast-growing environment.

• Exceptional organizational and proactive problem-solving mindset, with the ability to juggle multiple priorities.

• Knowledge of credentialing processes, provider data management, and healthcare compliance.