DevotedHiring

Provider Operations Manager, Credentialing

  • Remote, United States
  • Lead
  • Posted yesterday
In one line

Hands-on operations manager for a credentialing team at a health plan, running work queues and improving processes with AI and offshore support.

About the role

Credentialing was built in-house and must stay compliant while the team scales. The role mixes daily queue work with redesigning workflows and measuring what changes deliver.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Lead
Skills
Process improvement, Workflow mapping
Posted
28 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Work credentialing queues directly, unblock complex cases and keep turnaround times and quality high.
  • Write and maintain clear SOPs in a central documentation library as processes change.
  • Help manage and develop the offshore team through training, documentation and quality monitoring.
  • Size operational pain points with data and build business cases for AI and tech improvements.
  • Support a vendor transition with workflow mapping, requirements, testing and cutover.

What they look for

  • 3 to 5 or more years in operations, process improvement or consulting.
  • A bias toward action and willingness to do the work rather than only direct it.
  • Comfort moving between big-picture strategy and detailed execution, with strong attention to detail.

Nice to have

  • Experience with AI initiatives or offshore team transitions.

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Questions about this job

Is this a remote job, and where can I work from?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: 3 to 5 or more years in operations, process improvement or consulting; a bias toward action and willingness to do the work rather than only direct it; comfort moving between big-picture strategy and detailed execution, with strong attention to detail. Skills it names include Process improvement, Workflow mapping.

How do I apply with Keywordise AI?

Press the Apply with Keywordise AI button and add your CV. Keywordise tailors your CV and cover letter to this posting and sends the application for you, with a free 7-day trial and no card.

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