Senior Credentialing, Licensing & Provider Operations Coordinator

📋 Description

• Oversee the daily credentialing and re-credentialing processes for Tia’s provider network.

• Assist with medical licensing procedures for MDs, DOs, NPs, PAs, and RNs across various states, including monitoring requirements, deadlines, renewals, and application statuses.

• Track the onboarding progress and ensure that providers are licensed, credentialed, enrolled, and compliant prior to going live.

• Maintain oversight of APP supervision agreements, collaborative practice filings, and other state-specific requirements.

• Ensure provider files are accurate and ready for audits while keeping track of expirables such as licenses, DEA registrations, certifications, and other necessary documents.

• Liaise with providers, internal teams, health system partners, credentialing teams, and licensing authorities to expedite open items and address any delays.

• Maintain trackers, update status reports, identify risks early, and communicate timelines, blockers, and next steps to Clinical Operations and physician leadership.

• Collaborate with People Ops, Clinical Ops, and other internal departments to facilitate provider onboarding, compliance, and projects related to provider operations.

⛳️ Requirements

• A minimum of 3 years of experience in healthcare operations, credentialing, licensing, provider enrollment, provider onboarding, or provider data management.

• Experience in supporting credentialing and/or licensing processes for providers such as MDs, DOs, NPs, PAs, or RNs.

• Knowledge of medical licensing boards, CAQH, payer enrollment, provider documentation, and credentialing procedures.

• Exceptional attention to detail and the ability to accurately manage complex provider data.

• Strong organizational skills with the capability to handle multiple providers, deadlines, applications, and renewals simultaneously.

• Proficient in Google Sheets, Microsoft Excel, trackers, and credentialing or provider operations systems.

• Clear and proactive communication style with strong follow-up and execution skills.

• Ability to work professionally with providers, physician leadership, internal teams, health system partners, and external credentialing or licensing organizations.

• Comfortable in a fast-paced environment where priorities may change frequently.

🏝️ Benefits

• Medical, dental, and vision benefits effective from day one.

• Paid time off, sick leave, and dedicated learning time off.

• Support for professional development.

• Additional role-specific benefits.