Licensing and Credentialing Supervisor

| Greater Denver Area
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CirrusMD provides simple, effective care when you need it. We help health plans and employers create happier, healthier, and more engaged members by giving them access to on-demand virtual care solutions that they love to engage with. Our text-first care delivery platform connects members to a dedicated, board-certified physician in under 60 seconds from any web-enabled device, with no cost and no time limits attached. CirrusMD enables stress-free, human care conversation that doesn’t end until members get the answers (and peace of mind) they need to manage their wellness.

CirrusMD has partnered with over a dozen major national payers, employers, and integrated delivery networks to deliver extraordinary virtual care to millions of lives across the nation. The company was founded in 2012 and is headquartered in Denver, CO.

 

Why Work Here?

Join our team and help us deliver barrier free care. Our company offers significant opportunity for motivated self-starters who thrive in a fast-paced environment that is quickly transitioning from a startup to a highly recognized healthcare industry disruptor. We offer an exceptional benefits package including health, dental and vision, 401k match, flexible vacation and remote working policies, competitive salaries, performance based bonuses and stock options, an EcoPass, and other company perks. CirrusMD is located in the Catalyst HTI building in Denver’s RiNo neighborhood, a newly built office space, with access to open-air shared workspaces and community areas, and a highly engaged community of healthcare and tech innovation leaders. Subsidized parking, on-site gym and shower facilities are also available to our Denver based team. Given the current environment, our employees are working remotely and we plan to maintain a flexible approach to revisiting employees working in the office. Our salary budget for an amazing Licensing and Credentialing Supervisor is $52,000-$62,000 a year.

 

Who We’re Looking For

Under limited supervision, the Licensing and Credentialing Supervisor will supervise the CirrusMD Provider Network’s (CMDPN) licensing and credentialing functions and assigned team. This role will oversee development, management and monitoring processes and procedures that support the initial application and renewals of state medical licensing, insurance plan enrollments, and internal credentialing including delegated credentialing contract processes. The Licensing and Credentialing Supervisor will ensure compliance with the appropriate accrediting and regulatory agencies. and supervise staff in the day-to-day management of the overall CMDPN licensing and credentialing process and database management. This position reports to the Director of Clinical Operations.

If you thrive in an entrepreneurial, fast-paced environment, then this may be the right opportunity for you.

 

What You’ll Be Responsible For Achieving:

Licensing

  • Manages the CMDPN licensing process for all CirrusMD clinical providers, in accordance with Federal and State laws, and CirrusMD policies.

  • Coordinates the management of the licensing database, ensuring accuracy of data and reporting to partnering systems. Monitors critical data for extensive analysis and report generation.

  • Coordinates the oversight of CMDPN contractors hired to support the licensing application process.

  • Works closely with physicians to successfully gather necessary information and forms for State Medical applications.  

  • Complete applications through to submission and approval for any work not assigned externally.

  • Monitors the expirables process to ensure all clinical provider licenses and certificates remain current, ensuring appropriate notification prior to expiration.

  • Monitors and reports turnaround times of Medical licensing approval across all 50 states.

  • Manages licensing procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.

  • Tracks and reports on annual CME earned by the providers. 

Credentialing

  • Manages the CMDPN credentialing process for all CirrusMD clinical providers, in accordance with NCQA, Delegated contracts and CMS accreditation standards, Federal and State laws, and CirrusMD policies.

  • Coordinates the management of the credentialing database, ensuring accuracy of data and reporting to partnering systems. Monitors critical data for extensive analysis and report generation.

  • Coordinates the management of CMDPN credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process.

  • Coordinates the management of the expirables process to ensure all clinical provider licenses and certificates remain current, ensuring appropriate notification prior to expiration.

  • Monitors and reports turnaround times for processing of credentials applications, with continued focus on delivery of a high quality product, with the greatest efficiency, in the least amount of time, and in accordance to CMDPN policy timelines.

  • Manages Credentialing policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.

  • Provides consultations with regards to credentialing practices and services; prepares and conducts credentialing orientations and provides updates as appropriate on new policies and procedures.

  • Analyzes NCQA, delegation contract, state laws and CMS standards and develops criteria to ensure compliance; revises general aspects of credentialing and privileging process as necessary; makes recommendations for and implements changes in policies and procedures.

  • Prepares for and coordinates credentialing audits in compliance with the managed care delegated credentialing contracts and accreditation bodies.

  • Functions as primary CMDPN credentials contact for all internal and external inquiries; develops and maintains positive working relationships.

  • Represents CMDPN to internal and external customers as appropriate; makes presentations to and interacts with various internal and external customers on issues pertinent to area of specialty.

  • Maintains the CMPND Provider Directory.  Keeps all necessary parties updated with changes to the Network provider list and field any inquiries regarding provider CMDPN credentialing.  

  • Performs miscellaneous job-related duties as assigned.

What Will Make You Successful:

  • 3-5 year of experience in licensing and credentialing preferred

  • Preference for earned bachelor’s degree and/or at least 5 years of experience directly related to the duties and responsibilities specified. 

  • Certification/Licensure NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing certification is preferred. 

  • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

What Will Make You Stand Out:

  • Ability to make administrative/procedural decisions and judgments.

  • Ability to work independently; seeking help as necessary

  • Ability to investigate and analyze information and draw conclusions.

  • Ability to develop and deliver presentations.

  • Ability to process computer data and to format and generate reports.

  • Ability to communicate effectively, both orally and in writing.

  • Ability to foster a cooperative work environment.

  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.

  • Skill in developing policy and procedure documentation.

  • Database management skills.

  • Employee development and performance management skills.

  • Knowledge of related accreditation and certification requirements.

  • Knowledge of medical credentialing and privileging procedures and standards.

  • Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.

  • Prior experience with budget preparation.

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Technology we use

  • Engineering
    • GolangLanguages
    • JavascriptLanguages
    • KotlinLanguages
    • PythonLanguages
    • RubyLanguages
    • SqlLanguages
    • SwiftLanguages
    • ReactLibraries
    • ApolloLibraries
    • Ruby on RailsFrameworks
    • PostgreSQLDatabases
    • RedisDatabases
    • SnowflakeDatabases

Location

Our HQ is located in Denver's RiNo neighborhood with lots of restaurants and breweries within walking distance. An RTD station is just 2 blocks away.

An Insider's view of CirrusMD Inc.

What’s the vibe like in the office?

Everyone at CirrusMD understands the work they get to do is really special. I feel inspired and trusted to help make healthcare more accessible. Every day I feel grateful for the work I get to do and the amazing people I have the privilege of working with.

Jhun de Andres

Full Stack Software Engineer

What kinds of technical challenges do you and your team face?

I joined CirrusMD primarily because I was interested in working on a set of technologies, a platform, that could have impact on everyday people in healthcare.

It’s very rare to get to work on a product where you can see that it helps people in their day-to-day lives.

Gabe Varela

Chief Technology Officer

What are some things you learned at the company?

I like working at CirrusMD because I have an opportunity to make a lasting impact in healthcare.

By partnering with payers in the health system, we can really create the technology that acts as a catalyst to help them take additional risk and really achieve the goals of their value-based models.

Robyn Dietz

VP Account Management

What is your vision for the company?

I started CirrusMD because I was texting a ton with my friends and family and I realized I was actually providing a
really incredible service, they weren’t getting from the medical industry.

I said to myself, “It isn’t fair that only doctors’ own friends and family have this level of amazing service."

Blake McKinney, MD

Co-Founder and Chief Medical Officer

How do your team's ideas influence the company's direction?

At CirrusMD, Engineering works closely and collaboratively with Product and Design so we can provide the best possible experience to our customers. I love that my engineering expertise is part of the product development process from get go.

Ashley Clarke

Software Engineer

What are CirrusMD Inc. Perks + Benefits

CirrusMD Inc. Benefits Overview

We offer a fun, startup work-environment as well as strong benefits package including competitive salary, medical, dental and vision coverage for employees and dependents, 401k, flexible work hours, and a vacation policy that asks you to take what you need to maintain your work-life balance, while also achieving your goals.

Culture
Friends outside of work
Eat lunch together
Intracompany committees
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Documented equal pay policy
Highly diverse management team
Diversity manifesto
Mean gender pay gap below 10%
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Pet Insurance
Wellness Programs
Onsite Gym
Team workouts
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Beginning January 2021, CirrusMD. provides employees with a 401(k) matching plan managed by [provider]. We match 1% of contributions up to 6% of an employee's annual gross pay.
Company Equity
CirrusMD offers stock options to employees.
Performance Bonus
Child Care & Parental Leave Benefits
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Unlimited Vacation Policy
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Some Meals Provided
Happy Hours
Parking
Professional Development Benefits
Job Training & Conferences
Lunch and learns
Cross functional training encouraged
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