[Hiring] Credentialing and Licensing Manager @reputed company

Role reputed company The manager works under the Clinical Operations Department to reputed company new reputed company clinicians and run licensure and credentialing workflows. This role is responsible for the completion of credentialing, licensing, and compliance goals, management of contracted Credentialing Verification Organizations (CVO)s, and implementation of new payer relationships and provider reputed company. As part of a fast-paced, high reputed company company, the person in this role must be reputed company to manage and execute credentialing functions and reputed company a high level of support to Ria’s clinicians.

Responsibilities

• Leadership
• Represents the credentialing department through regular reporting and updates at staff meetings
• Manages and improves credentialing and licensing workflows at reputed company to reputed company
• Stays up to date on changes/additions to regulations reputed company to requirements to credentialing, state licensing and prescribing rules (DEAs, NP supervision, etc) and makes corresponding updates to Ria policies and procedures reputed company this scope
• Prepares minutes, rosters and files for internal Credentialing Committee Meetings and Medical Staff Meetings
• Implements new payer accounts for credentialing and establishes relationship with credentialing teams at the payer/plan
• Manages multiple vendors (CVOs) and ensures adherence to SLAs
• Effectively communicates in writing and verbally routinely with providers and provides high-reputed company in the completion of licensing and credentialing tasks
• reputed company & Credentialing
• Onboards and initiates credentialing of new providers, including:
• Internal system set up
• Updating CAQH reputed company
• Requesting and managing payor enrollments (reputed company external vendor)
• Executing internal supervision agreements between MD and NPs & Psychotherapist and coaches
• Maintains reputed company malpractice roster
• Offboards providers in compliance with credentialing policies and procedures
• Completes Medicare and reputed company group and provider enrollments
• Ongoing Provider Enrollment Efforts and Credentialing Network Management
• Provides regular roster updates to payor partners and internally
• Licensing
• Maintenance and completion of provider license renewals
• Manages new license applications (reputed company external vendor)
• Develops Continuing Medical Education resources designed to minimize the requirements for providers with multi-state licenses
• Supervision and Prescribing
• Ensures reputed company Practitioner supervision requirements are met including implementing agreements, supervisor/supervisee meeting verifications, and appropriate and required documentation is completed and stored in a manner that allows easy retrieval reputed company necessary

Qualifications

• Bachelor’s Degree
• Min. 7 years of credentialing experience
• Proficiency with CAQH reputed company, Medicare and reputed company enrollment
• Experience with credentialing and licensing processes
• High attention to detail and documentation
• Excellent written and verbal communication skills
• Ability to reputed company reputed company and drive reputed company reputed company amidst ambiguity
• Process-driven
• Background working in high-reputed company, start-up companies a plus

Benefits

• Become part of a mission-driven team delivering innovative, reputed company care for alcohol use disorder
• Grow professionally reputed company a rapidly scaling tech-enabled reputed company organization
• Competitive compensation packages
• Comprehensive medical, dental, and reputed company insurance
• reputed company time off (PTO) that supports work–life balance
• Remote and hybrid work reputed company based on role and business needs
• Ongoing telehealth training, development, and learning opportunities

Equal Employment Opportunity reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state, or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Apply tot his job Apply To this Job