Step into a leadership role where you’ll guide a remote team, ensure compliance, and shape credentialing operations that support healthcare networks nationwide. This position offers both impact and growth in a dynamic, innovative environment.
About Claritev
Claritev is committed to bending the cost curve in healthcare through technology, data, and innovation. We embrace bold ideas, accountability, diversity, and collaboration—empowering our teams to consistently deliver excellence and transform healthcare for all stakeholders.
Schedule
- Full-time, remote position
- Salary range: $55,000–$70,000 annually
- Eligible for health insurance, 401(k), and bonus opportunity
What You’ll Do
- Lead and mentor a remote team overseeing initial credentialing and recredentialing for provider networks
- Ensure compliance with NCQA accreditation standards and company policies
- Oversee recredentialing workflows, non-respondent management, and policy adherence
- Produce reports to monitor productivity, data integrity, and quality standards
- Identify training needs and provide NCQA-related education to staff
- Collaborate on projects as a subject matter expert for credentialing operations
- Manage departmental resources, maintain HIPAA compliance, and drive process improvements
What You Need
- Bachelor’s degree or 3+ years of credentialing/operations experience
- At least 3 years of supervisory and project management experience in managed healthcare
- Active or in-progress Certified Provider Credentialing Specialist (CPCS) certification
- Strong knowledge of NCQA standards and regulatory compliance
- Proficiency with MS Office (Excel, Access) and familiarity with data systems (ECHO preferred)
- Excellent leadership, organizational, and communication skills
- Ability to manage multiple projects, mentor staff, and drive results in a data-driven environment
Benefits
- Medical, dental, and vision coverage with low deductible & copay
- Life insurance, short- and long-term disability
- Paid parental leave
- 401(k) with match & Employee Stock Purchase Plan
- Generous PTO and 10 paid holidays
- Tuition reimbursement and professional development programs
- Employee Assistance Program and flexible spending account
Lead with purpose. Drive credentialing excellence in a supportive, forward-thinking environment.
Onward and upward.
Happy Hunting,
~Two Chicks…