Medallion · 3 days ago
Manager, Credentialing (Quality)
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $115K/yr
3+ years expMedallion is a leading healthcare technology company focused on streamlining provider operations. The Credentialing Manager will oversee the Credentialing department's daily activities, ensuring efficient and accurate completion of licensing and credentialing tasks for clients.
Artificial Intelligence (AI)Business Process Automation (BPA)Enterprise SoftwareHealth CareManagement Information Systems
Responsibilities
Partner with our engineering team to define feature requirements, participate in testing, provide feedback, and translate product updates into clear, scalable SOPs
Implement, and maintain audit frameworks—including establishing audit criteria, sampling methodologies, and evaluation standards
Collaborate closely with the Implementation team to gather customer requirements and document them in SOPs to ensure consistent, repeatable execution
Manage 2 QA agents and specialists in completing regular audits; analyze audit trends and partner with the Credentialing over production to drive ongoing process improvements
Surface operational risks, workflow blockers, or emerging trends proactively to leadership to ensure smooth execution
Assist in training new team members on process changes, product updates, and new SOPs to ensure successful onboarding and adoption
Support rollout planning for new features, workflows, and SOPs by coordinating across EPD, EMs, and Implementation teams
Partner with analytics and ops teams to measure the impact of workflow changes on efficiency, accuracy, and customer outcomes
Join escalated customer calls as needed
Qualification
Required
3+ 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
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
Experience setting up or managing QA audits, including defining audit criteria and evaluating performance
Ability to analyze data to identify trends, risks, and opportunities to improve workflows
Preferred
Experience working with Airtable
Experience in a client facing role
Benefits
Equity
Benefits as part of the total compensation package
Company
Medallion
Medallion automates credentialing, enrollment, onboarding, and compliance to streamline healthcare network operations.
51-200 employees
H1B Sponsorship
Medallion has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (7)
2023 (8)
2022 (2)
2021 (2)
Funding
Current Stage
Growth StageTotal Funding
$128MKey Investors
Acrew CapitalSequoia CapitalSpark Capital
2025-08-18Series C· $43M
2022-06-23Series C· $35M
2021-11-03Series B· $30M
Leadership Team
Derek Lo
Founder & CEO
Recent News
Fierce Healthcare
2025-09-02
Company data provided by crunchbase