Team Leader - Credentialing

Credentialing Team Lead | Healthcare Operations.

We are looking for an experienced Credentialing Team Lead to join our growing healthcare operations team. This role is ideal for professionals with strong credentialing expertise and team management experience who can ensure compliance, accuracy, and operational excellence.

Key Responsibilities
- Team Management
Lead, mentor, and supervise a team of credentialing specialists
Assign tasks, monitor performance, and provide regular feedback
Conduct training sessions to enhance team knowledge and skills
Credentialing Operations
Oversee the  end-to-end credentialing process , including provider enrollment, verification, and re-credentialing
Ensure compliance with  NCQA, CMS, state, and organizational requirements
Review and approve credentialing files before submission
Coordinate with  providers and payers  to resolve credentialing queries when required
Quality & Compliance
Maintain high standards of  accuracy and turnaround time  in credentialing activities
Implement quality control measures and conduct periodic audits
Stay updated with regulatory changes and ensure the team follows updated guidelines
Process Improvement
Identify operational bottlenecks and propose workflow improvements
Develop and implement  best practices  in credentialing operations
Utilize technology and automation tools to improve efficiency
Preferred Candidate Profile
Experience in  US Healthcare Credentialing
Prior  Team Lead / SME / Supervisory experience
Strong understanding of  NCQA, CMS, and payer credentialing processes
Excellent  communication and stakeholder management skills

Location:

Hiranandani Gardens, Powai - Mumbai.

Shift:  US Shift
Role:  Team Lead – Credentialing.