Credentialing Coordinator

Summary

Join Hims & Hers Health, Inc. as a Credentialing Coordinator and play a vital role in ensuring all healthcare professionals on our platform maintain current certifications and licenses. You will partner with the Credentialing Manager and third-party providers to manage the credentialing process, resolve support issues, and maintain compliance with regulations. Responsibilities include managing provider licensing, coordinating with external verification organizations, auditing compliance, and monitoring data integrity. The ideal candidate possesses a Bachelor's degree (preferred), at least two years of credentialing experience, and exceptional communication and organizational skills. Hims & Hers offers a competitive salary and benefits package, including unlimited PTO, comprehensive health benefits, and an employee stock purchase program.

Requirements

• Bachelor’s Degree preferred and a minimum of two (2) years of credentialing experience with working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards
• Demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed
• Be a self-starter with strong attention to detail
• 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
• Own the provider licensing process
• 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
• 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