Licensing & Credentialing Specialist

We are looking for experienced License and Credentialing Specialist to join our passionate team!

* MUST HAVE EXPERIENCE WITH NPI AND CAQH

The License and Credentialing Specialist will serve as a subject matter expert for credentialing and licensing, with attention to essential changes and required actions to ensure compliance across all state and federal requirements. This role will specialize in the Licenses that employees need in each state for their specific career field.  This role is mainly in charge of Provider licenses and credentialing. The License and Credentialing Specialist will monitor the credential status of our providers and be proactive in renewals as well as identifying opportunities for further licensing.

Skills:

• Lead licensing and credentialing as we scale our clinical team across multiple states
• Maintain Medallion database of required licenses, certifications, and credentials of clinical team
• Knowledge of the needs to expand employees’ licensures with state requirements
• Identification and flagging of gaps or potential risks, monitoring, and addressing of relevant timelines associated with expirations/renewals (ensuring recertification occurs timely), and ensuring all appropriate documentation is filed with appropriate entities
• Provide necessary resources, and deliverables to ensure effective management of the provider roster to mitigate any risks associated with growth and expansion as well as to drive efficiencies
• Assist Human Resources in providing onboarding as it relates to primary source verification, initial credentialing, and other key requirements to inform key decisions on hiring and onboarding. HR will serve as the initial reviewer; the Licensing Specialist is the final reviewer of the provider/applicant's licensing and medical credentialing applications to ensure compliance with each entity's specific requirements and standards including state and federal regulatory requirements.

Pay Range: $55 - $65K/Year