Senior Manager, Licensing and Credentialing

About Us

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer.

About the Role

Galileo is looking for a dynamic leader to join our team as a Senior Manager, Licensing & Credentialing. This position is responsible for building the strategy, capabilities and execution of the credentialing and licensing operations establishing baseline SLAs with targets for improvement. Additionally, you will monitor, and supervise the day-to-day activities of the licensing and credentialing team and serve as a resource for clinical teams ensuring compliance with all federal, state, regulatory and other accrediting standards. 

This is a full-time, remote position reporting into the VP of People.

Here’s what you’ll do:

• Owns the end to end credentialing and multi-state licensing process and systems, including the implementation and maintenance of policies and procedures
• Oversees the onboarding and offboarding of providers, driving license and credentialing applications to completion, as well as ongoing credentialing
• Operates our delegated credentialing program and oversees health plan credentialing audits
• Manages entity level enrollment in Medicare, Medicaid, and partners with BD on external payer credentialing discussions
• Ensures all providers are in compliance with state and federal regulations
• Establishes and monitors state-specific NP/MD supervision ratios, collaborative practice agreement requirements, and prescriptive authority rules.
• Builds efficient internal workflows are aligned to maximize speed, accuracy, and scalability
• Establishes and maintains dashboards and an efficient system of records and reports
• Consults and partners with Clinical Operations, Clinical Providers, People Operations and Talent Acquisition teams to align priorities, identify gaps, and communicate issues as they arise
• Manages the team’s development and performance creating an inclusive environment of high morale, motivation and teamwork

We’d love to hear from you if you have the following:

• 5-7 years of experience of applicable Credentialing experience
• 2-4 years supervisory experience in managing and developing teams
• Proven ability to thrive in a high-performing, entrepreneurial setting
• Are extremely high attention to detail and process-oriented
• Proven ability to design, manage, and scale complex credentialing and license processes
• Previous experience in the healthcare industry and provider platforms (e.g. CAQH, PECOS)

Compensation: $110,000 - $140,000 based upon experience, performance, market dynamics.

Benefits

• Medical / Dental / Vision insurance
• Flexible Spending Account
• Health Savings Account
• Company paid STD/LTD, AD&D, and Life insurance
• Paid Family Leave
• 401K + match
• Paid Time Off

How We Hire

Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds.

We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.