Licensing and Credentialing Specialist
Remote from approved states (CA, CO, CT, DC, DE, HI, IL, MA, MD, NJ, NM, NY, OR, VT, and WA) with a strong preference in NYCFull-TimeJunior
Salary$60,000 - $70,000 a year
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Job Details
- Experience
- 2+ years
- Required Skills
- Project ManagementMicrosoft ExcelGoogle Sheets
Requirements
- 2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state setting.
- Hands-on experience with CAQH, state licensing portals, and payer enrollment systems.
- Familiarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerations.
- Working knowledge of credentialing standards and government payer enrollment processes.
- Exceptional organizational skills with the ability to manage a high volume of deadlines.
- Strong attention to detail with a track record of catching errors in complex documentation.
- Proactive, persistent communicator comfortable following up with boards, payers, and clinicians.
- Self-starter capable of building structure in an ambiguous, fast-moving startup environment.
- Proficiency in Google Sheets, Excel, or project management tools.
- High integrity and discretion when handling sensitive provider information.
Responsibilities
- Manage end-to-end provider licensing workflows across multiple states, including initial applications, renewals, and maintenance for all provider types.
- Own payer enrollment processes for commercial and government payers, from initial application through active status.
- Maintain and update CAQH profiles for all providers.
- Build and maintain accurate tracking systems to monitor license and credential expiration dates.
- Serve as the primary liaison between clinicians, state medical/nursing boards, payers, and internal stakeholders.
- Follow up persistently and proactively with external agencies and boards to move applications forward.
- Develop and document SOPs and workflows for licensing and credentialing processes.
- Partner with clinical and operations teams to ensure providers are ready to see patients on time.
- Identify gaps in processes and implement improvements to reduce administrative burden.
- Ensure compliance with licensing requirements, credentialing standards, and HIPAA requirements.
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