WHAT YOU’LL DO

• Track credentialing and licensing status for our providers
• Implement and manage an effective credentialing and licensure program
• Lead and monitor all credentialing, re-credentialing, and provider enrollment processes
• Maintain a database of provider certifications and renewal dates
• Confirm that provider credentials match the requirements of their job
• Help full-time providers apply for or renew credentials which may include finding test dates and locations, identifying CME requirements, or submitting applications and payments on their behalf
• Ensure staff coordination and administration of the credentialing and licensing process for certified staff and providers
• Assist with cross-state licensure process
• Review, analyze and create practitioner credentialing applications, privileging forms, and standardized communications in an effort to improve communication and compliance
• Identify and communicate all concerns regarding practitioner credentialing and enrollment to appropriate parties; follow up when necessary to ensure affected parties and departments are notified of concerns in an appropriate time frame
• Monitor for provider sanctions and collaborate with appropriate teams to action accordingly
• Develop and review company policies
• Communicate with government agencies 
• Other duties as assigned by management

WHAT YOU’LL BRING

• 5+ years of credentialing experience with medical staff
• CPCS or CPMSM certification
• Proficiency in using credentialing software and databases.
• The ability to think logically and analytically to problem-solve on a daily basis.
• Have emotional intelligence and the ability to possess self-awareness and base decisions on your analysis of facts.
• Strong time management and prioritization skills to make sound business decisions.
• In-depth knowledge of the clinical, healthcare, and telemedicine standards, regulations, and medical credentialing and privileging procedures and standards.
• Excellent communication skills; written, verbal, as well as auditory
• Familiarity with healthcare, telehealth, and regulatory terminology.
• Professional integrity to adhere to professional confidentiality standards in accordance with HIPAA, legal, ethical, and company policies
• Critical thinking skills to exercise sound independent judgment and discretion in applying departmental policies and procedures while handling confidential medical staff, risk management, and peer review information.

WHAT WILL GIVE YOU AN EDGE

• Proven track record with other startups or VC-funded companies 
• Experience in healthcare & health-tech environments
• Bachelor’s degree in business, finance, or a related field preferred
• Experience working remotely