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Licensing and Credentialing Specialist

Role overview

Qualifications

  • 2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state setting
  • Hands-on experience with CAQH, state licensing portals, and payer enrollment systems
  • Familiarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerations
  • Working knowledge of credentialing standards and government payer enrollment processes

Responsibilities

  • Manage end-to-end provider licensing workflows across multiple states
  • Own payer enrollment processes for commercial and government payers
  • Maintain and update CAQH profiles for all providers
  • Build and maintain accurate tracking systems to monitor license and credential expiration dates

Other skills

  • Detail Oriented
  • Communication
  • Proactivity

About the company

Hey Jane logo

Hey Jane

Femtech / Women's Health

Hey Jane is healthcare, on your own terms. As the most-trusted, most-funded virtual clinic offering telemedicine abortion care, we’re proudly putting the power back in people’s hands by providing care that’s private, safe, supportive, accessible, and convenient.

Company details

Company typeSME
IndustryFemtech / Women's Health
Company size11 - 50

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Job description

Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, IL, MA, MD, NJ, NY, OR, and WA.

We are living through a pivotal moment for reproductive and sexual health—and Hey Jane is uniquely positioned to help.

From day one, we've been committed to providing safe, discreet medication abortion treatment—and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone.  Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We’re committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares.

Role Overview
We are seeking a highly organized and detail-oriented Licensing & Credentialing Specialist who thrives in dynamic environments and is motivated by the opportunity to help clinicians deliver high-quality, patient-centered care.
 
In this role, you will manage all aspects of provider licensing, credentialing, and payer enrollment, ensuring our clinical team remains fully compliant, up-to-date, and able to practice without interruption. You will coordinate end-to-end licensing workflows, maintain accurate records across multiple systems, and act as a key liaison between clinicians, state boards, payers, and internal stakeholders. 
 
The ideal candidate is comfortable working in the details, managing many moving pieces, and being persistent in communications. You excel at spotting gaps, creating structure where it’s needed, and keeping processes running smoothly to help our clinicians care for patients without administrative delays.
 
We are currently hiring for part time or a full time.
Compensation: $60-70k/yr
 
Why this role matters
This isn’t your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. In a moment where access to care is more important than ever, your work will have a tangible impact on clinicians’ ability to practice and on the future of accessible healthcare across the U.S.

Responsibilities
  • Manage end-to-end provider licensing workflows across multiple states, including initial applications, renewals, and maintenance for all provider types (MDs, NPs, CNMs, RNs, etc.)
  • Own payer enrollment processes for commercial and government payers (Medicaid, Medicare), from initial application through active status
  • Maintain and update CAQH profiles for all providers
  • Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses in provider ability to practice
  • Serve as the primary liaison between clinicians, state medical/nursing boards, payers, and internal stakeholders
  • Follow up persistently and proactively with external agencies and boards to move applications forward and resolve delays
  • Develop and document SOPs and workflows for licensing and credentialing processes as the company scales
  • Partner closely with clinical, operations, and business development teams to ensure providers are enrolled and ready to see patients on time
  • Identify gaps in current processes and implement improvements to reduce administrative burden on clinicians
  • Ensure compliance with licensing requirements, credentialing standards, and HIPAA requirements

  • Qualifications
  • 2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state setting
  • Hands-on experience with CAQH, state licensing portals, and payer enrollment systems
  • Familiarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerations
  • Working knowledge of credentialing standards and government payer enrollment processes
  • Exceptional organizational skills with the ability to manage a high volume of deadlines and follow-ups simultaneously
  • Strong attention to detail with a track record of catching errors in complex documentation
  • Proactive, persistent communicator — comfortable following up with state boards, payers, and busy clinicians
  • Self-starter who can build structure and process in an ambiguous, fast-moving startup environment
  • Proficiency google sheets/excel or project management tools
  • High integrity and discretion when handling sensitive provider information
  • At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare—and bring that same vision to our workplace. We’re an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.

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    MR

    Marcus Rivera

    Chief Revenue Officer

    m.rivera@company.com
    linkedin.com/in/marcusrivera
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