Manager, Licensing & Credentialing
Core
Lead licensing, credentialing, and payer enrollment workflows to ensure providers remain licensed and credentialed across states and payers, enabling uninterrupted patient access to care.
Role type
Manager, Licensing & Credentialing
Builds
Provider onboarding/offboarding, multi-state licensing, payer enrollments, and compliance documentation for a virtualized clinical network.
Domain
US Healthcare / Telehealth / Life Sciences
Required skills
State provider licensing, credentialing, payer enrollment/revalidation, compact licensure pathways (IMLC/PSYPACT/NLC/APRN), team leadership, regulatory compliance, CAQH/PECOS management, process improvement
Preferred skills
CMS reimbursement programs, PC-MSO structures, CPCS/CPMSM certification, automation/technology integrations
Technologies
CAQH, PECOS, tracking software
Responsibilities
Own full provider onboarding and offboarding sequences including license pathway determinations and sanction screening; oversee multi-state licensing applications and renewals; manage payer enrollment and credentialing across Medicare, Medicaid, and commercial payers; execute and maintain collaboration/supervision agreements; lead the L&C team including workload distribution and performance management; maintain regulatory documentation and drive workflow automation.
Seniority
Manager, hands-on IC with team leadership