Credentialing Analyst - Lead

About the role

This role leads critical operational initiatives for the re-credentialing program transformation, aligned with Senior Leadership Team strategic goals. It covers Re-Credentialing and Compliance Management, Process Improvement and AI Integration, and Fraud Prevention and Security Awareness, safeguarding sensitive consumer data and protecting revenue streams. The position is based in Heredia, Costa Rica, within the Security Governance and Compliance function, full time.

Key responsibilities

• Direct end-to-end program governance and re-credentialing workflows, turning executive priorities into compliance milestones and measurable regulatory outcomes.
• Modernize customer contact data systems using process improvement and smart automation/AI tools to remove friction and prevent revenue loss.
• Lead high-touch customer consultations and review sessions to clarify re-credentialing criteria and resolve compliance inquiries.
• Evaluate data-access patterns to detect sophisticated fraud vectors and unverified entities, ensuring strong security controls.
• Review dashboards and track key performance indicators to spot inefficiencies, forecast SLA risks and optimise workflows.
• Identify systemic compliance vulnerabilities and work with business units to design and implement robust controls.

Required profile

• 3+ years in consumer data compliance, security re-credentialing or credential verification in a high-volume environment.
• Bachelor's degree in Business, Risk Management, Security, Compliance or a related field (or equivalent practical experience); high school diploma required.
• 3+ years in re-credentialing and compliance management, fraud mitigation or regulatory risk operations.
• 2+ years in process improvement, AI integration or project management in complex workflows.
• Proven ability to handle complex compliance issues for high-value clients and to analyse metrics and KPIs.
• Strong fraud prevention and security awareness background, with good oral and written communication.
• English B2+.

What sets you apart

• Experience with AI, process automation or workflow analytics to modernise manual credentialing.
• Certifications such as PMP, Lean Six Sigma or CAMS.
• Leadership of large-scale re-credentialing transformations under frameworks such as FCRA and GLBA.
• Success combining fraud prevention with white-glove customer service to improve client retention.