Verifiable · 3 hours ago
Director, Credentialing Operations
United States
Full-time
Remote
Director/Executive
15+ years exp
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Responsibilities
Build and maintain strong relationships with clients, ensuring their needs are met and addressing any concerns or issues.
Work closely with other departments (e.g., Sales, R&D, CS, HR, Legal) to ensure seamless integration and alignment of operations.
Support seamless and successful onboarding and launch of customers by supporting when needed during sales and implementation processes. Ensure the internal CVO team is prepared and ready for go-live.
Oversee daily operations of our Credentialing Organization, particularly ensuring that we maintain and continuously improve our timeliness and quality.
Monitor staff performance and work with CVO Team leads to address Performance Issues timely and proactively.
Manage capacity strategically and nimbly; proactively forecast needs based on customer inputs and pipeline. Work with VP of Operations on capacity management, including forecasting, recruiting, hiring, and onboarding.
Constantly maintain a focus on data and data-driven decision-making across the team.
Lead, mentor and grow a team of Credentialing Specialists and Credentialing Team Leads, ensuring very high levels of performance and engagement.
Foster a positive and collaborative work environment, promoting a team vs. individual mindset, positivity, and professional growth and development.
As needed, take on different roles and projects based on the company’s need.
Ensure compliance with industry standards, regulations, and accreditation requirements (e.g., NCQA, URAC).
Implement and maintain quality assurance programs to ensure the accuracy and integrity of credentialing processes.
Conduct regular audits and reviews to identify areas for improvement and ensure compliance with best practices
Collaborate with senior leadership to develop and execute the organization's strategic plan.
Identify opportunities for process improvements, cost reductions, and service enhancements.
Lead initiatives to implement new technologies and systems that improve operational efficiency and effectiveness.
Qualification
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Required
15+ years experience in the industry
You understand the intricacies of compliance requirements across various accrediting bodies, payers, states & federal gov’t
You're customer-oriented, and a pro at navigating demanding customer relationships.
You're an empathetic & strong leader who inspires by example and cares about building a thriving team
You understand the role of technology and how to leverage technology strategically in healthcare
You have a strong sense of urgency, responsibility, resourcefulness, and humility
You are comfortable leaning in and owning different parts of the business based on needs & timing
You are a very strong critical thinker, is always using your full brain, and can just as easily zoom in as zoom out.
Company
Verifiable
Verifiable develops real-time credential verification platform intended to verify licenses, sanctions, and other important records.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$47MKey Investors
Craft Ventures
2023-07-10Series B· $27M
2021-08-06Series A· $17M
2020-10-20Seed· $3M
Leadership Team
Nicholas Macario
CEO & Co-Founder
Recent News
2023-12-23
2023-12-23
2023-12-23
Company data provided by crunchbase
