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Licensing & Credentialing Manager

Background

The Licensing & Credentialing Manager reports to the SVP of Operations and will partner with the licensing and credentialing team to deliver credentialing verification services and privileging for our providers and contracted clients. The Credentialing Specialist handles credentialing and provider enrollment and assures timely enrollment of all facilities. The individual ensures that accurate data needed for credentialing is obtained, maintained and current for all providers.



An adaptable, roll-up-your-sleeves mindset is imperative to succeeding in this role. As an early stage and high growth organization, this role will be critical in supporting our providers and hospital partners to better enable patient care.

Role Purpose


Reports directly to Senior Vice President of Operations


The Licensing & Credentialing Manager reports to the SVP of Operations and will partner with the licensing and credentialing team to deliver credentialing verification services and privileging for our providers and contracted clients. The Credentialing Specialist handles credentialing and provider enrollment and assures timely enrollment of all facilities. The individual ensures that accurate data needed for credentialing is obtained, maintained and current for all providers.

An adaptable, roll-up-your-sleeves mindset is imperative to succeeding in this role. As an early stage and high growth organization, this role will be critical in supporting our providers and hospital partners to better enable patient care.



Qualifications And Minimum Requirements

  • Knowledge of Modio Health credentialing software or similar software and ability to become lead user quickly.
  • Ability to make administrative/procedural decisions and judgments.
  • Ability to investigate and analyze information and draw conclusions.
  • Ability to develop and deliver presentations.
  • Ability to process computer data and to format and generate reports, particularly using Pivot Tables, VLookup and other basic Excel reporting functions.
  • Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to foster a cooperative work environment.
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Skill in developing policy and procedure documentation.
  • Database management skills.
  • Knowledge of related accreditation and certification requirements.
  • Knowledge of medical credentialing and privileging procedures and standards.
  • Knowledge of medical staff policies, regulations, and the legal environment within which they operate.

Education and/or Experience

  • NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing certification.
  • 10+ years of experience directly related to the duties and responsibilities specified.

Salary and Benefits:

  • Health and Wellness
  • 401k
  • Paid time Off
  • Tuition Reimbursement for Qualified degrees
  • Parental Leave
Notice & Disclaimer:  The above job description is meant to describe the general nature and level of work being performed. It is not intended to be construed as an exhaustive, all-inclusive list of all responsibilities, duties, and skills required for the position. Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently.

Quick Facts

Location: Metro NYC-Based Required
Shift: Full-Time Flex commute ok (i.e. 2-3 days/week in office)
Bonus Eligibility:
TBD

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EQUUM Medical

EQUUM Medical is an acute care telehealth company, enabling access to specialty care across a variety of clinical settings.
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