About CertifyOS

CertifyOS is building the data infrastructure that powers modern healthcare.

Today, healthcare organizations rely on fragmented and outdated provider data. This creates unnecessary administrative work, regulatory risk, and higher costs across the system. We’re solving that problem.

Our API-first platform automates provider licensing, enrollment, credentialing, and network monitoring by connecting directly to hundreds of primary data sources. We help healthcare organizations maintain accurate, compliant, and reliable provider networks at scale.

Our vision is simple: One API. One provider ID. Frictionless provider data.

We’re backed by leading investors and built by a team with deep experience in provider data systems. At CertifyOS, we value authenticity, accountability, collaboration, results, and openness to feedback. We’re building a high-ownership team focused on solving real infrastructure problems that impact millions of patients.

About the role

Quality is the job. The Director of Quality Operations is accountable for the quality of everything CertifyOS delivers: the accuracy of the provider data we build, the work our teams do to build it, and the healthcare outcomes that depend on both, from health plans trusting that every credentialed provider is verified to members reaching the right clinician.

You will lead a central quality team that audits our own work every day, and you will use what it finds to raise quality at scale: measuring it, finding root causes, and changing workflows and technology so that errors are prevented rather than caught. We want someone who obsesses over quality and runs on data, and who does more than recognize what good looks like. You will know how to drive it, and you will have done so before.

Alongside that, you will own CertifyOS's NCQA compliance and delegation oversight, and be the credentialing expert in front of senior client stakeholders. This is an operating role, so you will be accountable for the daily throughput and turnaround time of the audit engine. You will serve as the senior compliance and quality voice for CertifyOS with client stakeholders, including plan compliance, delegation oversight, and credentialing committee leaders.

What you'll own

Quality at scale: data, work, and outcomes

Own quality as the standard for how CertifyOS works, across: data quality of what is surfaced to our clients (accurate, complete, current provider data), and work quality (credentialing files done right the first time)

Define what good looks like in measurable terms: quality metrics, error taxonomies, baselines, and targets by client, workflow, and team, reported to leadership and clients.

Drive quality up at scale. Use data to find where errors originate, which clients and workflows carry the most risk, and which fixes remove the most defects across volume.

Build a culture of quality across Operations: clear standards, fast feedback to teams, and accountability when quality slips.

A central quality team and audit engine

Lead and grow a central quality team that conducts internal audits of credentialing files and processes.

Iteratively evaluate and improve the audit program: sampling methodology, scoring, error taxonomy, calibration, and reporting.

Improve the audit process itself, including coverage, consistency, and cost per audit.

Closing the loop into technology

Turn audit findings into root causes and root causes into product and automation changes: validation rules, workflow logic, primary-source integrations, system-enforced controls, and AI-powered workflow with human-in-the-loop.

Work with Product, Engineering, and Data to specify, prioritize, and validate those changes, and confirm through follow-up audits that error rates fell.

Use judgment about what technology can and cannot solve, and where the answer is process, training, or policy instead.

Operational performance of the quality function

Manage daily audit throughput and turnaround time, with capacity planning, work allocation, and staffing to volume.