Credentialing Analyst

Hims & Hers is the leading health and wellness platform, on a mission to help the world feel great through the power of better health. We are redefining healthcare by putting the customer first and delivering access to care that is affordable, accessible, and personal, from diagnosis to treatment to delivery. No two people are the same, so we provide access to personalized care designed for results. By normalizing health & wellness challenges and innovating on their solutions, we’re making better health outcomes easier to achieve. 

Hims & Hers is a public company, traded on the NYSE under the ticker symbol “HIMS.” To learn more about the brand and offerings, you can visit hims.com/about and hims.com/how-it-works . For information on the company’s outstanding benefits, culture, and its talent-first flexible/remote work approach, see below and visit www.hims.com/careers-professionals.

About the Role:

The Credentialing Analyst will be engaged in all aspects of credentialing of healthcare professionals. This includes onboarding new providers, assisting in resolution of issues facing current providers, and ensuring all providers have current certification and licensure. The Credentialing Analyst will report to the Credentialing Manager and collaborate frequently with Provider Operations leadership.

The Credentialing Analyst will have 7+ years of experience working in a fast-paced credentialing environment. This individual will have strong written and verbal communication skills, use organized and structured thinking, work cross-functionally effectively, and have the ability to self- manage deadlines - all skills necessary in maintaining the operational foundation of a growing credentialing program. A successful candidate will have experience working in developing, documenting, and maintaining new processes. This individual will be comfortable working in spreadsheets, querying and manipulating large data sets to perform reconciliations, performing audits, and monitoring performance dashboards. They will build with scale in mind: constantly finding and executing on opportunities for improving workflows and has demonstrated success managing cross-functional process improvement projects from conception to completion.

You Will:

• Ensure all new and existing providers possess the required credentials and licenses to operate compliantly and safely on the H&H platform, that these are documented accurately, and work with providers to ensure that these credentials are kept up to date.

• Perform regular data reconciliations to monitor credentialing related data integrity between multiple provider data management systems.

• Own the licensing process for the associated medical group by working externally with a third-party service provider to apply for, track, and obtain additional licenses for members of the care team

• Working closely with Credentialing Manager and cross-functional partners to perform research and develop updated processes and policies to maintain compliance with changing state requirements for licensing, credentialing, and collaborative practice agreements.

• Provide coverage to team members who manage, resolve, or escalate credentialing related support issues through ZenDesk. Identify common themes and develop processes to improve the provider experience.

• Coordinate and deepen relationships with external third-party service providers to analyze, iterate, and document processes, providing recommendations for improving efficiencies for licensing and credentialing.

• Audit files to verify compliance with NCQA, state-level, and internal requirements for providers to practice through the H&H platform.

• Work cross-functionally with the Recruiting and Provider Success teams to streamline and support credentialing processes related to provider onboarding.

• Work with the Credentialing Manager to analyze, recommend improvements, lead projects, and continually strengthen the credentialing program.

You Have:

• Bachelor’s Degree preferred and a minimum of seven (7) years experience in credentialing and/or analyzing and reporting on operations and metrics

• Experience analyzing and reporting on the operations and metrics of credentialing

• Be comfortable navigating data platforms to independently query, manipulate, and reconcile large data sets to ensure data integrity across multiple systems

• Experience in leading cross-functional process improvement projects

• Ability to plan and prioritize to meet deadlines; with the ability to re-prioritize as needed.

• Exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed.

• Must be a self-starter with a strong attention to detail

• Excellent computer skills including Excel, Word, Google Suite, and Internet use.

• Experience applying for and obtaining licenses for healthcare professionals (preferred)

• Knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards (preferred).

Our Benefits (there are more but here are some highlights):

• Competitive salary & equity compensation for full-time roles

• Unlimited PTO, company holidays, and quarterly mental health days

• Comprehensive health benefits including medical, dental & vision, and parental leave

• Employee Stock Purchase Program (ESPP)

• 401k benefits with employer matching contribution

• Offsite team retreats

We are committed to building a workforce that reflects diverse perspectives and prioritizes ethics, wellness, and a strong sense of belonging. If you're excited about this role, we encourage you to apply—even if you're not sure if your background or experience is a perfect match.

Hims considers all qualified applicants for employment, including applicants with arrest or conviction records, in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, the California Fair Chance Act, and any similar state or local fair chance laws.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Hims & Hers is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, please contact us at [email protected] and describe the needed accommodation. Your privacy is important to us, and any information you share will only be used for the legitimate purpose of considering your request for accommodation. Hims & Hers gives consideration to all qualified applicants without regard to any protected status, including disability. Please do not send resumes to this email address.

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