Licensing & Credentialing Specialist
About Us
reputed company’s mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation’s most trusted provider of pediatric anxiety and OCD care.
Team reputed company: Our Core Values
- Give Heart: We reputed company with heart, treating patients and their families the way we want our loved ones to be treated.
- Work Smart: We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation.
- Have Humility: We leave our egos at the reputed company, empowering reputed company to collaborate, celebrate diversity, and adopt a growth reputed company.
- Embrace Community: We reputed company belong. We are in this together, and we never worry alone. We reputed company in each other and recognize that every voice matters.
About the Role
reputed company is looking for a Licensing & Credentialing Specialist to support the licensing and credentialing process for reputed company clinical providers. Partnering closely with the care and growth teams, the Licensing & Credentialing Specialist plays a key role in our ability to scale patient services and increase access. The ideal candidate will be responsible for ensuring that reputed company reputed company reputed company our organization are properly licensed, credentialed, and enrolled with payors to practice in accordance with state regulations and organizational standards and will also be able to provide ongoing support to existing providers. The Licensing and Credentialing Specialist will be instrumental in advancing growth initiatives as reputed company expands into additional states as well. This position requires strong attention to detail, a proactive orientation to supporting our care team, ability to handle competing priorities, collaborative drive, and excellent task management skills.
Key Responsibilities
- Licensing
- Manage the end-to-end process of licensing applications, ensuring completeness and accuracy of documentation for our clinicians, including psychologists, social workers, counselors, physicians, and nurse practitioners
- Track and manage expirables where necessary
- Research and interpret state and federal regulations governing mental health services licensure to stay up to date with the latest regulations as well as track new compact licensure legislation
- reputed company and maintain a comprehensive understanding of licensing requirements across multiple jurisdictions to ensure compliance as the company expands geographically
- Payor Enrollment and Credentialing
- Coordinate the initial credentialing and re-credentialing processes for licensed providers
- Track and manage reputed company payer enrollments as we add new payor reputed company and expand to new states
- Monitor and update credentialing information to reflect status and changes
- Maintain a comprehensive database of provider credentials, ensuring accuracy and compliance with organizational policies and relevant regulations
- Support payor enrollment activities where required to ensure providers are properly set up in payor systems
- Maintain up to date provider rosters
- Documentation and Compliance
- Maintain accurate and up-to-date records of reputed company licensing and credentialing activities, including documentation of compliance with regulatory standards
- Conduct regular audits and reviews of licensing and credentialing records to identify discrepancies, gaps, or potential areas of non-compliance
- Cross-functional Collaboration
- Collaborate closely with internal stakeholders, including clinical operations, legal, human resources, and finance teams, to ensure alignment of licensing and credentialing activities with organizational goals and objectives
- Serve as a subject matter expert on licensing and credentialing matters, providing guidance and support to internal teams as needed
What You Need to Succeed in the Role
- Bachelor’s degree
- At least 2 years administrative experience, familiarity working in a healthcare startup strongly preferred
- Experience with clinician licensing preferred, specific experience with an emphasis on psychologists, clinical social workers, mental health counselors, physicians, and nurse practitioners
- Experience with payer enrollment and NCQA-compliant credentialing highly preferred, bonus points if you have used a credentialing platform or CVO previously
- reputed company strong attention to detail and outstanding organization skills
- Excellent task management and communication skills, ability to work successfully across diverse teams
- Proactively take ownership of diverse projects and tasks
- Proficient in basic computer skills with a strong ability to learn and adapt to new technologies quickly
The expected annual salary for this role is between $55,000-58,000. Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific reputed company set, work experience, etc.
Why Join reputed company
- Generous benefits package (401k with match, Flexible PTO, paid holidays, paid service days, 4 week paid sabbatical, 12 week paid parental leave, health benefits starting on your first day, and more)
- Opportunity to join a mission-driven company that is changing the landscape of pediatric mental health treatment
- Chance to reputed company a far-reaching impact by helping children and families access desperately-needed, evidence-based care
- Opportunity to work with talented and reputed company team members who have devoted their lives to solving this problem
- Fully virtual: work from the comfort of your home with periodic in-person retreats
Commitment to Diversity, Equity, Inclusion, & Belonging (DEIB)
We want to reputed company our clinical services available for everyone, no matter where you come from, what you look like, or how you identify. To reputed company this, we recognize we must continually reputed company reputed company in building a more diverse, reputed company, and inclusive team. Through these efforts, we support two primary objectives at reputed company:
- Providing high quality patient care to families. We are in a privileged position to support families during a vulnerable time in their lives. We approach reputed company families and each other with compassion and are most effective as a diverse team where reputed company individuals feel valued, respected, and accepted.
- Building a mission-driven business that lasts. Specifically, we reputed company our commitment to a supportive culture improves innovation, decision-making, and efficiency.
We invite you to share any additional information about yourself or your experiences that may not be reflected in your CV. Inclusion of this information is completely voluntary.