About Us:
Verifiable provides industry-leading, API-first solutions to automate credentialing and provider network management for the healthcare industry. Our software is used by some of the largest and fastest growing healthcare companies like Humana, TriWest, Spring Health, Modern Health, Talkspace and Grow Therapy. We are an official Salesforce vendor, and the #1 fastest-growing ISV partner on the Salesforce app exchange in 2023.
About You:
Our credentialing team is core to our business and is responsible for helping our clients credential their providers so patients can receive care safely and as soon as possible. We're looking for a strong operator and seasoned healthcare/credentialing leader who has experience managing large-scale credentialing operations to help with client relationship management, strategic planning, operational management and team leadership.
Requirements - 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.
Client Relationship Management 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.
Operational Excellence Responsibilities - 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.
Leadership and Team Management Responsibilities - 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.
Compliance and Quality Assurance Responsibilities - 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
Strategic Planning and Execution Responsibilities - 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.
More About Verifiable:
We’ve grown to over 100 employees in 5 years. Steady revenue growth allowed us to secure a $27M Series B led by Craft Ventures, bringing us to $47M in total funding.
We value the many benefits of remote work, so we’re fully distributed across the US and internationally.
Benefits include Health/Vision/Dental plans, unlimited PTO, new Apple equipment, and startup equity as part of your comp package.