Director, Credentialing

Medallion; United States; On-site; USD 125,000 - 145,000; Full time

Benefits offered by this job

Equity in the company

Comprehensive benefits package

Job summary

A leading healthcare technology firm in the United States is seeking a Credentialing Manager to oversee the daily activities of the Credentialing department. The ideal candidate will possess over 6 years of experience in provider credentialing, particularly with NCQA criteria, and have a strong leadership background. This role offers a competitive salary between $125,000-$145,000, along with equity and benefits as part of a comprehensive compensation package.

Qualifications

• 6+ years of provider credentialing experience, specifically working with NCQA criteria.
• 2+ years of experience managing credentialing teams.
• Experience in a client-facing role.

Responsibilities

• Oversee and manage day-to-day operational tasks.
• Collaborate across departments to optimize workflows.
• Develop measurable goals to evaluate success.

Skills

Provider credentialing experience

Managing credentialing teams

Working with NCQA criteria

Experience in credentialing software systems

Computer literacy in Google Suite and Microsoft Office

Client-facing role experience

Strong organizational skills

Attention to detail

Excellent interpersonal skills

Job description

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About Medallion

At Medallion, we believe healthcare teams should focus on what truly matters—delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.

As one of the fastest-growing healthcare technology companies—ranked No. 3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, No. 5 on LinkedIn's 2024 Top Startups in the US, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show—Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.

We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.

About The Role

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.

Core 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 elevate 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.
• Focus on delivering successful outcomes for our clients and 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.

You’d be a great fit if…

• 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