02 ago
|
Jobgether
|
España
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Credentialing Lead based in Spain.
This role offers the opportunity to build and lead a critical credentialing operation from the ground up.
You will design scalable workflows, establish quality standards, and oversee the full credentialing lifecycle for healthcare providers.
The position combines operational ownership, process improvement, compliance management, and team leadership.
You will play a key role in helping practices reduce administrative burdens, maintain payer access, and accelerate revenue opportunities.
Working closely with cross-functional teams, you will shape a service that delivers accuracy, reliability, and exceptional partner support.
This is an adecuado opportunity for someone who thrives in a fast-paced environment and enjoys creating solutions from the ground up.
Accountabilities:
The Credentialing Lead will be responsible for building, managing,
and scaling a comprehensive credentialing service while ensuring operational excellence and compliance across all activities. Key responsibilities include:
- Designing and launching credentialing workflows, quality standards, operational processes, and service guidelines from the ground up.
- Managing the complete credentialing lifecycle, including application intake, primary source verification, CAQH management, payer enrollment, Medicare/Medicaid enrollment, recredentialing, and compliance monitoring.
- Ensuring credentialing files are completed accurately, efficiently, and in accordance with payer requirements and industry regulations.
- Monitoring provider statuses, licenses, sanctions, and exclusion lists to proactively identify risks and prevent disruptions to billing capabilities.
- Establishing performance metrics and operational standards to maintain strong turnaround times, accuracy, and service quality.
- Recruiting, training, and managing credentialing special
📌 Credentialing Lead (España)
🏢 Jobgether
📍 España