Team Lead, Licensing and Credentialing

5+ years previous experience in licensing, credentialing, or provider enrollment within a healthcare or behavioral health setting across multiple states. Experience leading or mentoring others within the licensing and credentialing environment. National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) certification Strong knowledge of NCQA, CMS/Medicare, CAQH, Medicaid, and multi-state licensing/credentialing regulations. Proficiency with credentialing systems, workflow tools, and productivity platforms (ClickUp, Slack, MS/Google Suite). Ability to build strong relationships and communicate clearly. High degree of professionalism, confidentiality, and accountability.

Execute licensing, credentialing, and enrollment processes accurately and compliantly. Serve as the primary escalation point for complex applications. Mentor, train, and guide L&C Specialists. Maintain accurate documentation and records. Identify workflow gaps and recommend improvements. Serve as the L&C SME with external partners. Collaborate cross-functionally to resolve issues. Support SOP updates and process implementation.