Manager, Credentialing – Medical Staff Services

This is a fully remote position, open to applicants in United States.

📋 Description

• Take full responsibility for the complete process of primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across the necessary states.

• Define and uphold role- and state-specific licensure requirements, transforming them into workflows, controls, tracking systems, and escalation processes.

• Keep updated authoritative rosters of healthcare professionals and manage credentialing records.

• Oversee renewals and track licensing board status, including sanctions, exclusions, and changes in adverse status.

• Set deadlines, controls, and escalation paths to avert lapses and ensure audit preparedness.

• Coordinate training, attestations, certifications, continuing medical education, background checks, fingerprinting, and compliance obligations.

• Assist with internal and external audits.

• Manage FPPE and OPPE workflows while ensuring audit-readiness of records.

• Lead the onboarding and offboarding processes for healthcare professionals.

• Oversee credentialing, licensing, documentation, system access, training, and other readiness dependencies.

• Create onboarding checklists and service levels, eliminate bottlenecks, and escalate any incomplete requirements.

• Establish reliable sources of truth for credentialing, readiness, and FPPE/OPPE status.

• Define data ownership, reconciliation methods, quality controls, reporting standards, and accountability measures.

• Design standardized workflows utilizing credentialing platforms and internal systems.

• Implement approved automation and AI tools to minimize manual tasks and enhance reliability.

• Measure cycle times, backlog, accuracy, readiness, service performance, and other operational metrics.

• Identify recurring failure points and develop scalable solutions.

• Act as the central operational contact for clinician administrative needs, maintaining service catalogs, intake processes, response standards, and escalation pathways.

• Enhance reimbursement workflows for healthcare professionals, including CME, licensure, and approved professional expenses.

• Address administrative challenges with Clinical Leadership, HR, Finance, Legal, Compliance, and IT departments.

• Standardize, automate, delegate, or facilitate self-service options for recurring clinician support requests.

• Collaborate with senior clinical and operational leaders on priorities, accountability, and operational standards.

• Set deadlines and service-level expectations for healthcare professionals and cross-functional partners.

• Escalate issues related to at-risk licenses, incomplete applications, non-responsiveness, and unresolved dependencies.

• Support expansion into new states and markets by ensuring healthcare professionals are operationally prepared.

• Assist in defining staffing, technology, vendor, and organizational strategies for credentialing and medical staff operations.

• Supervise assigned staff, contractors, and vendors through clear roles, priorities, service levels, workload distribution, and performance expectations.

⛳️ Requirements

• Minimum of five years of progressively responsible experience in healthcare professional credentialing, multi-state licensure, medical staff services, or medical group operations.

• Direct experience in primary source verification, license renewals, compliance monitoring, audit-ready recordkeeping, and onboarding of healthcare professionals.

• Proven track record in developing or enhancing credentialing systems, workflows, operational reporting, and authoritative records.

• Experience working in a complex, multi-state healthcare setting.

• Capability to establish deadlines, influence healthcare professionals and cross-functional leaders, and constructively escalate risks.

• Strong project management, analytical, communication, and operational problem-solving abilities.

• Ability to shift between detailed workflow execution and higher-level program design.

• Experience in administering FPPE, OPPE, or similar medical staff professional-practice evaluation processes, including tracking, documentation, reporting, and escalation.

• Candidates must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa, current or future.

• Successful applicants will be subject to a background check.

• Preferred: experience in high-growth healthcare, digital health, telehealth, or multi-site medical groups.

• Preferred: experience in implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes.

• Preferred: experience managing credentialing staff, shared-service teams, contractors, or external vendors.

• Preferred: experience designing centralized medical staff operations or healthcare professional support functions.

🏝️ Benefits

• Complimentary whole-body scans for each team member.

• Opportunities for professional growth.

• Weekly team gatherings to connect, share, and socialize.

• Flexible vacation policy.

• Commuter Benefits Plan that covers transit and parking expenses.

• 401(k) retirement savings plan with pre-tax contributions; company matching contributions are not currently offered.

• Comprehensive coverage for health, dental, vision, and mental health.

• Chance to positively impact people's lives and their health.