Licensing and Credentialing Specialist
Skills
Business DevelopmentCredentialingExternal AgenciesHealthcareLicensingMedicaidMicrosoft Excel
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- 2+ years of provider licensing and credentialing experience ideally in telehealth or multi-state settings
- Hands-on experience with CAQH state licensing portals and payer enrollment systems
- Familiarity with multi-state licensing compacts and telehealth licensing considerations
- Working knowledge of credentialing standards and government payer enrollment processes
- Exceptional organizational skills with ability to manage many deadlines and follow-ups
- Strong attention to detail in complex documentation
- Proactive persistent communication with state boards payers and clinicians
- Self-starter who can build structure in a fast-moving startup environment
- Proficiency with Google Sheets Excel or project management tools
- High integrity and discretion handling sensitive provider information
Nice to have
- Highly organized
- Detail-oriented
- Persistent communicator
- Proactive
- Self-starter
- Discreet
Day to day
- Manage end-to-end provider licensing workflows across multiple states for various provider types.
- Own payer enrollment processes for commercial and government payers from initial application through active status.
- Maintain accurate tracking systems and act as the primary liaison between clinicians state boards payers and internal stakeholders.