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Specialist, Provider Licensing & Credentialing

Specialist, Provider Licensing & Credentialing

NURXFresno, CA, US
3 days ago
Job type
  • Full-time
Job description

Specialist, Provider Licensing & Credentialing

As a Specialist for the Provider Licensing & Credentialing, you will work closely with our providers and business stakeholders to support the Keeps Medical Group credentialing and licensing process. You are comfortable speaking with others across various channels (primarily email / message) compassionately and professionally. You are a good fit for the role if you are detail-oriented and ready to serve as the subject matter expert for provider credentialing with our clinical organization. Above all, you embody the Thirty Madison mission of providing access to healthcare for all who suffer from chronic conditions.

Comp | Perks | Benefits

  • The base pay range for this position is $25.48 - $27.88 per hour
  • Annual Incentive Plan
  • Robust and affordable Medical, Dental, and Vision plan options
  • 401(k) with a match, commuter benefits, and FSA
  • Annual $750 vacation stipend and $500 happiness stipend
  • Vacation time off policy - up to 10 vacation days accrued your first year. Vacation time begins accruing immediately

What you get to do every day

  • Oversee the full lifecycle of licensing processes, including new license, APP collaboration, and license renewal applications
  • Serve as the go-to expert on licensing, ensuring compliance and efficiency in all processes and applications
  • Collaborates with People, Insurance Operations, Practice Operations, Clinical Leadership and other applicable teams to execute cross-functional requests with minimal supervision
  • Leads process improvements to streamline licensing workflows, reducing turnaround times and enhancing compliance
  • Guide a team of 2-4 coordinators, fostering skill development through hands-on mentorship and actionable feedback
  • Assists with other practice and insurance operations tasks as needed
  • What you bring to the role

  • At least 3 years of experience in a medical licensing role
  • Experience with multi-state licensing
  • Familiarity with regulatory standards, such as NCQA or state-specific licensing requirements
  • Strong organizational skills
  • Exceptional communication and collaboration skills
  • Physical Requirements

  • Manual dexterity, arm and upper body range of motion sufficient for use of a keyboard, mouse and telephone 7 to 8 hours per day.
  • Vision sufficient for use of a computer monitor.
  • All Company policies and procedures are subject to change without notice based on business needs. This includes, but is not limited to, the locations where we hire remote, hybrid, or onsite employees.

    U.S. Applicants Only

    Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Thirty Madison we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

    We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions. Contact recruiting@thirtymadison.com to request accommodation.

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    Credentialing Specialist • Fresno, CA, US

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