Provider Credentialing Lead
Core
Design, develop, and oversee the onboarding and credentialing processes for healthcare providers within a network across 50 states and DC.
Role type
Senior Provider Credentialing Lead
Builds
A best-in-class provider credentialing and licensing department
Domain
Healthcare administration and regulatory compliance
Required skills
Provider credentialing standards, licensure lifecycle management, primary source verification, collaborative practice agreements, quality assurance audits, data management, project management
Preferred skills
Multi-state telehealth experience, Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation
Technologies
Medallion, CAQH, NPPES, state verification portals
Responsibilities
Design and rollout credentialing processes ensuring compliance; Manage full licensure lifecycle including expirations and renewals; Oversee collaborative practice and supervision agreements; Implement quality assurance measures and conduct audits; Maintain accurate provider data in databases; Administer credentialing platforms and tools
Seniority
Senior, hands-on IC