Remote Credentialing Team Lead - Healthcare

Sutherland; Clifton (NJ); Remote; USD 90,000 - 120,000; Full time

Job summary

Sutherland is seeking a Credentialing Team Manager for a remote USA position. You will lead the credentialing staff, ensuring accuracy, regulatory compliance, and timely processing of credentialing tasks.

Key focus areas include developing strategies, coaching staff, and maintaining strong relationships with providers and payers while delivering high-quality outcomes in a fast-paced healthcare environment.

Qualifications

• Leadership experience in credentialing teams or similar healthcare operations.
• Strong analytical skills and ability to interpret data trends to drive improvements.
• Experience maintaining regulatory and payer credentialing standards and reporting.

Responsibilities

• Keep management updated with timely credentialing reports and compliance status.
• Develop credentialing strategies based on data analysis and regulatory requirements.
• Oversee credentialing quality and ensure staff adherence to standards and deadlines.
• Coordinate with providers, payers, and internal stakeholders to resolve verification issues and meet requirements.
• Monitor workflows and queues, identify delays, and implement corrective actions.

Skills

Leadership experience

Analytical skills

Data interpretation

Communication skills

Team collaboration

Adaptability

Education

CPC/COC/CCS/CCS-P Certification (AAPC/AHIMA)

Tools

MS Office

Job description

Sutherland is seeking a Credentialing Team Manager for a remote USA position. You will lead the credentialing staff, ensuring accuracy, regulatory compliance, and timely processing of credentialing tasks.

Key focus areas include developing strategies, coaching staff, and maintaining strong relationships with providers and payers while delivering high-quality outcomes in a fast-paced healthcare environment.