Credentialing Coordinator

Summary

Join Hims & Hers Health, Inc. as a Credentialing Coordinator to perform all aspects of credentialing of healthcare professionals, including onboarding new providers, resolving issues, and ensuring current certification and licensure.

Requirements

• Bachelor’s Degree preferred
• A minimum of two (2) years of credentialing experience with working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards
• Must demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed
• Must be a self-starter with strong attention to detail
• Must be able to plan and prioritize to meet deadlines; with the ability to re-prioritize as needed
• Excellent computer skills including Excel, Word, Google Suite, and Internet use

Responsibilities

• Partner with the Credentialing Manager and third-party service providers to ensure all new and existing providers possess the required credentials and licenses to operate compliantly and safely on the H&H platform, that these are documented accurately, and work with providers to ensure that these credentials are kept up to date
• Manage, resolve, or escalate credentialing related support issues through ZenDesk. Identifying common themes and developing processes to improve the provider experience
• Coordinate with external credentialing verification organization (CVO) to both process applications in a timely manner and deepen partnership by providing regular feedback to support our needs
• Audit and verify compliance with NCQA and state-level requirements for providers to practice
• Own agreement workflows with all contracted providers ensuring new applications/licenses are recorded accurately in the credentialing database
• Continuously monitor credentialing related data integrity between multiple provider data management systems. Identifying potential red flags or quality concerns during the credentialing process
• Perform employment verifications and send out certificates of insurance for current providers
• Work cross-functionally with the Provider Success team to streamline and support credentialing processes related to provider onboarding
• Work externally with third-party service providers to analyze, iterate, and document processes, providing recommendations for improving efficiencies
• Work with the Credentialing Manager to analyze, recommend improvements, and build out the credentialing program

Benefits

• Competitive salary & equity compensation for full-time roles
• Unlimited PTO, company holidays, and quarterly mental health days
• Comprehensive health benefits including medical, dental & vision, and parental leave
• Employee Stock Purchase Program (ESPP)
• Employee discounts on hims & hers & Apostrophe online products
• 401k benefits with employer matching contribution
• Offsite team retreats