Sup, Credentialing, Licensing, & Privileging

Accountabilities:

• • Lead and develop the credentialing team, including coaching, training, performance management, timekeeping oversight, and day-to-day guidance for direct reports.
  • Oversee provider credentialing, licensing, privileging, re-credentialing, and onboarding activities, ensuring processes are completed accurately, efficiently, and in accordance with regulatory and accreditation requirements.
  • Manage operational workflows, including application readiness reviews, credentialing file-path assessments, worklist management, and updates to credentialing systems and software.
  • Partner with internal leadership, local practices, providers, and external clients to coordinate requirements, communicate progress, resolve issues, and maintain high levels of stakeholder satisfaction.
  • Monitor team performance and operational metrics, identify workflow bottlenecks, and implement improvements that increase efficiency, consistency, and internal controls.
  • Manage escalated credentialing and operational issues, using sound judgment to determine appropriate resolutions and ensure timely follow-through.
  • Conduct audits and quality reviews to identify gaps, strengthen processes, and support ongoing compliance.
  • Contribute to projects and initiatives designed to optimize credentialing, licensing, privileging, and provider onboarding operations.
  • Foster a collaborative, accountable, and service-oriented team culture within a fully remote working environment.

  Requirements:

  • Bachelor’s degree from an accredited four-year college or university preferred.
  • 4–6 years of experience in provider credentialing, licensing, privileging, healthcare operations, or a closely related field.
  • Professional certification such as Certified Provider Credentialing Specialist (CPCS) through the National Association of Medical Staff Services is preferred.
  • Hands-on experience with credentialing software and strong proficiency with Microsoft Office applications.
  • Strong understanding of credentialing, licensing, privileging, re-credentialing, and provider onboarding processes, with the ability to apply relevant regulatory and accreditation standards.
  • Demonstrated leadership experience, including the ability to coach, develop, motivate, and manage team members effectively.
  • Strong analytical and project management skills, with the ability to monitor metrics, identify operational issues, and drive process improvements.
  • Excellent written and verbal communication skills, with the ability to work effectively with providers, leadership, internal teams, and external stakeholders.
  • Ability to manage priorities, meet deadlines, handle escalations, and maintain accuracy in a fast-paced healthcare operations environment.
  • Proven ability to lead and collaborate with remote teams while maintaining accountability, engagement, and service quality.

  Benefits:

  • Salary: $65,000–$75,000 annually, with final compensation based on factors such as experience, education, certifications, and geographic location.
  • Annual bonus: Eligibility for a discretionary annual bonus.
  • Healthcare: Health and wellness coverage with tiered plan options, subject to eligibility.
  • Retirement: 401(k) benefits.
  • Additional benefits: Family planning and telehealth resources.
  • Time off: Generous PTO plans and paid holidays.
  • Flexibility: Fully remote position with a flexible work schedule.
  • Career development: Compensation reviews and opportunities for professional growth and advancement.
  • Workplace culture: Inclusive, collaborative environment with a strong focus on employee development and belonging.