Provider Operations Manager – Credentialing

Devoted Health

. Support day-to-day credentialing operations, including working queues, unblocking complex cases, and driving turnaround times and quality.

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSenior💰 $73,000 - $115,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in operational efficiency and process improvement, with a strong focus on credentialing operations and compliance with CMS and AAAHC standards. Proficient in leveraging data and AI solutions to enhance workflows and drive decision-making.

Highest-signal resume keywords

Operations ManagementProcess ImprovementAI Solutions DevelopmentCredentialing Standards ComplianceData Analysis and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

OperationsProcess ImprovementAI Tools DevelopmentData AnalysisWorkflow MappingReportingQuality MonitoringSOP DocumentationRegulatory CompliancePerformance Monitoring

Soft Skills

Strong CommunicationDetail-OrientedProblem-SolvingAdaptabilityCollaboration

Tools & Technologies

Internal SystemsDocumentation LibraryReporting ToolsCredentialing SoftwareAI Technology

Industry Keywords

HealthcareCredentialingCMS RequirementsAAAHC StandardsOperational Metrics

About the role

Key responsibilities & impact

Support day-to-day credentialing operations, including working queues, unblocking complex cases, and driving turnaround times and quality.
Capture operational knowledge in clear SOPs and maintain a current central documentation library.
Help manage and develop the offshore team through training, documentation, and quality and productivity monitoring.
Partner on offshore transitions by identifying transferable work and supporting smooth handoffs.
Assess operational pain points, use data to size opportunities, and build business cases for AI, technology, and offshore solutions.
Create and implement AI solutions to improve operational efficiency and scale, partnering with product and engineering as needed.
Support the 2027 CVO vendor transition, including workflow mapping, requirements, testing, cutover, and vendor performance monitoring.
Become an expert in internal systems and tools, troubleshoot issues, and propose improvements to system logic.
Own operational metrics, build reporting, surface trends and bottlenecks, and guide decisions with data.
Ensure credentialing operations comply with CMS, AAAHC, and state requirements.
Partner with internal leadership, network and contracting teams, providers, vendors, and offshore partners.

Requirements

What you’ll need

3-5+ years in operations, process improvement, or consulting.
A true operator with a bias toward action; willing to roll up your sleeves and do the work, not just direct it.
Passion for efficiency and ability to predict and prevent bottlenecks.
Comfortable moving between big-picture strategy and detailed execution.
Ability to shift focus and reprioritize quickly in a fast-paced, evolving environment.
Stamina for complex and difficult problems.
Detail-oriented, with a high bar for quality and accuracy.
Ability and desire to understand and follow complex regulations.
Strong communication and ability to work with cross-functional stakeholders and drive alignment.
Data, systems, and tech savvy, with ability to build reporting that improves decision-making.
Healthcare experience.
Familiarity with credentialing standards and CMS requirements.
Hands-on experience building and deploying AI tools to improve workflows, or strong track record applying technology and automation to operational problems.
Experience with process improvement methodologies.

Benefits

Comp & perks

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above
Commission eligibility for Sales roles
Parental leave program
401K program