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Licensing and Credentialing Specialist

Remote: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Care Access logo
Care Access Research SME https://www.careaccess.com/
501 - 1000 Employees
See all jobs

Job description

What We Do
Care Access is a unique, multi-specialty network of research sites that operates as one connected team of physician investigators, nurse coordinators, and operations managers. Our goal is to engage every healthcare professional in clinical research and to make clinical trials a care option for every patient. By removing this bottleneck, Care Access is helping accelerate the approval and delivery of critical and life-saving therapies.

Who We Are
We care. Our people are the engines behind our mission: to revolutionize access to clinical trials for the benefit of patients everywhere. We care for one another, find new ideas to accelerate medicine, and seed a long-term impact for generations.

Position Overview
We are seeking a highly organized and proactive Licensing and Credentialing Specialist to oversee and manage licensing, and compliance processes for healthcare providers, including but not limited to physicians, nurse practitioners (NPs), physician assistants (PAs), and registered nurses (RNs). This role involves submitting new license applications, ensuring prompt renewal of licenses and certifications, gathering and maintaining required documentation, and ensuring regulatory compliance. 

What You'll Be Working On (Duties include but not limited to):
  • Maintain efficient licensing process to accommodate licensing across multiple states, coordinating between providers, medical boards and government agencies, and collecting provider credentialing and licensing materials.
  • Collaborating with our credentialing team to ensure all provider licensing requirements are met in a timely manner.
  • Tracking and completing license renewal, DEA, CSR and CME requirements in the system.
  • Coordinating with providers to complete licensing applications.
  • Resolving licensing or credentialing issues by communicating effectively with providers.
  • Tactically manage coordination with medical boards to ensure the licensing process continues to proceed smoothly.
  • Managing provider documentation and organizing materials to effectively cross license providers in multiple states.
  • Keep our licenses and statuses organized - everyone across the Operations and Clinical teams will know where licenses stand at any given time.
  • Maintain database of knowledge of current medical provider requirements for credentialing and licensure in each state
  • Conduct interviews with providers to gather detailed information about their medical background, job history, and malpractice history.
  • Ensure all necessary licensing details are collected, including NPI and DEA registration information, CVs, malpractice insurance documentation, and training certificates.
  • Assist with credentialing processes involving CAQH profiles, including verifying and attesting information.
  • Gather and compile all required licensing and credentialing documents, maintaining strict confidentiality.
  • Assist providers with administrative tasks such as notary services, fingerprinting, and mailing or shipping documents.
  • Create onboarding documents, including checklists and guides, to support new staff in the licensing process.
  • Monitor and track CME credits for providers using platforms such as CE Broker and Net CE.
  • Participate in peer review committees to address licensure-related issues.
  • Provide 'white glove' support, maintaining regular communication with providers to address inquiries and follow up on progress.
  • Present updates, reports, and recommendations to stakeholders and leadership.
  • Regular and predictable attendance is expected.
  • All other duties as assigned.

    • Physical and Travel Requirements
  • This is a remote position. Occasional planned travel may be required as part of the role

    • What You Bring (Knowledge, Skills, and Abilities):
  • You're a self-starter. You like to organize processes and improve on workflows that already exist because there's always an opportunity for efficiency.
  • An impeccable attention to detail. You are able to catch idiosyncrasies in data or workflows quickly. You document processes in a concise but thorough manner.
  • Independence and scrappy attitude. You're a problem solver with a positive and 'get the job done' mentality. You are able to run with a task or problem without heavy hand holding.
  • Organizational and prioritization skills. You know what to prioritize and when. You naturally project manage and never let the ball drop. You love organizing in Google sheets and understand how it works.
  • Collaborative. You love working with lots of different kinds of people and are a relationship builder at heart. You are not afraid to receive feedback and provide constructive feedback with those who work with you.
  • Strong at synthesizing information. You can distill easy-to-understand takeaways and next steps. You're able to diagnose problems, see patterns, and come up with targeted solutions.

    • Preferred Qualification:
  • Minimum 2-4 years of experience in licensing.
  • Notary certification or experience providing notary services preferred.
  • Certification in credentialing or medical staff services (e.g., CPCS or CPMSM).
  • Knowledge of compliance requirements for clinical trials or healthcare organizations

    • Certifications/Licenses, Education, and Experience:
  • Bachelor's degree preferred, or equivalent experience in credentialing, licensing, or a related field.
  • Demonstrated experience in licensing, credentialing, and compliance processes.
  • Familiarity with NPI, DEA registrations, and IMLCC requirements.
  • Knowledge of FVCS, and interstate licensure compacts.
  • Experience conducting detailed interviews with healthcare professionals regarding their professional history and documentation.
  • Proficiency in credentialing software such as Verifiable, CE Broker, and Net CE.
  • Advanced proficiency in Microsoft Excel and other Office Suite tools.
  • Strong problem-solving and critical thinking abilities.
  • Exceptional attention to detail and organizational skills.
  • Excellent interpersonal skills, including the ability to conduct interviews and build rapport with healthcare providers.
  • Comfortable contacting state boards and regulatory agencies to resolve issues.
    • Diversity & Inclusion
    We serve patients and researchers from diverse cultures and communities around the world. We are stronger and better when we build a team representing the people we aim to support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We value diversity and believe that unique contributions drive our success.
     
    At Care Access, every day, we are advancing medical breakthroughs. We’re uniting standard patient care with cutting-edge treatments and research. Our work brings life-changing therapies to those in need and paves the way for newer and greater treatments to reach the world. We’re proud to advance these breakthroughs and work with the big players while engaging with the
    physicians and caring for patients.
     
    We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
     
    Care Access is unable to sponsor work visas at this time.

    Employment Statement
    Care Access complies with all employment laws and regulations with respect to its employment practices, terms and conditions of employment, and pay equity and wages. Care Access does not engage in any unfair or forced labor practice and does not tolerate, under any circumstances, the use of any form of forced or involuntary labor, child labor, or human trafficking. This extends to suppliers, partners, or other third parties with whom Care Access does business. Care Access values and promotes the protection of human rights everywhere.

    Required profile

    Experience

    Level of experience: Mid-level (2-5 years)
    Industry :
    Research
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

    Hard Skills

    In-LicensingRegulatory ComplianceCredential ManagerDatabase ManagementCredential ManagerPatient InterviewsCompliance ManagementNotary Services

    Other Skills

    • Detail Oriented
    • Communication
    • Microsoft Excel
    • Organizational Skills
    • Problem Solving
    • Time Management
    • Teamwork
    • Collaboration
    • Critical Thinking
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