heyjane - Hey Jane - Licensing and Credentialing Specialist
Requirements
• We are currently hiring for part time or a full time. • 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 and follow-ups simultaneously • Strong attention to detail with a track record of catching errors in complex documentation • Proactive, persistent communicator — comfortable following up with state boards, payers, and busy clinicians • Self-starter who can build structure and process in an ambiguous, fast-moving startup environment • Proficiency 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 (MDs, NPs, CNMs, RNs, etc.) • Own payer enrollment processes for commercial and government payers (Medicaid, Medicare), 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, ensuring zero lapses in provider ability to practice • 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 and resolve delays • Develop and document SOPs and workflows for licensing and credentialing processes as the company scales • Partner closely with clinical, operations, and business development teams to ensure providers are enrolled and ready to see patients on time • Identify gaps in current processes and implement improvements to reduce administrative burden on clinicians • Ensure compliance with licensing requirements, credentialing standards, and HIPAA requirements
Benefits
• This isn’t your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. In a moment where access to care is more important than ever, your work will have a tangible impact on clinicians’ ability to practice and on the future of accessible healthcare across the U.S.
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