Provider Services supports all aspects of provider and organizational compliance across enrollment, credentialing, and licensure. This contract role is primarily responsible for organizational licensure management for peers and non-clinical staff, ensuring all required licenses, registrations, and compliance items remain active, current, and audit-ready. This role will also provide backup support to provider enrollment and credentialing functions, including follow-ups, status tracking, and system updates when required.
This role is critical to ensuring that all organizational licensure and provider-related compliance functions remain current, accurate, and audit-ready, while also supporting broader Provider Services operations as needed.
Target Hours: 30 per week
Schedule: Monday–Friday (Flexible / Hybrid)
- Track, monitor, and maintain all organizational licenses and registrations across applicable states
- Manage renewals, expirations, and supporting documentation to ensure continuous compliance
- Maintain accurate and up-to-date records in internal systems, trackers, and shared drives
- Coordinate with internal teams and external agencies to obtain required documentation
- Research state-specific requirements, regulations, and compliance standards
- Prepare documentation for audits, reviews, and internal reporting
- Identify risks or gaps in licensure and escalate as needed
- Assist with payer enrollment submissions and follow-ups
- Update credentialing systems with application statuses and documentation
- Maintain provider records including licensure, board certifications, and supporting documents
- Track timelines and ensure submissions are progressing within expected turnaround times
- Support CAQH updates and general provider data maintenance
- Communicate with payers and internal stakeholders regarding status updates
- Maintain and update spreadsheets, credentialing software, and internal tracking tools
- Ensure all documentation is organized, complete, and easily accessible
- Generate basic reports on licensure and enrollment status as needed
- Document all actions taken for compliance and audit purposes
Required:
- 3+ years experience in healthcare administration, credentialing, enrollment, and general compliance
- Strong organizational and tracking skills with high attention to detail
- Experience working with spreadsheets and document management systems
- Ability to manage multiple deadlines and priorities
Preferred:
- Experience with provider enrollment, credentialing, or licensing processes
- Knowledge of Medicare, Medicaid, and commercial payer processes
- Familiarity with CAQH and credentialing platforms
- Understanding of healthcare regulatory requirements
- Detail-oriented and deadline-driven
- Strong research and problem-solving skills
- Clear written and verbal communication
- Ability to work independently and as part of a team
- Adaptability in a fast-paced, evolving environment
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
Benefits
For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.
Top Skills
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