Licensing and Credentialing Manager

Summary

Join Firefly Health, a revolutionary healthcare company, as their Licensing and Credentialing Manager. You will play a vital role in ensuring smooth healthcare service operations by managing licensing, credentialing, and compliance, directly supporting care teams. This position requires end-to-end management of licensing, credentialing, and payer enrollment processes, ensuring compliance with all relevant regulations. You will also assist providers with licensing and credentialing tasks, maintain accurate records, and develop effective communication channels. The ideal candidate possesses strong organizational skills, attention to detail, and excellent written communication abilities. This largely remote role offers geographical flexibility with occasional on-site meetings.

Requirements

• You have a minimum of 2 years of experience in multi-state provider licensing and credentialing across various payers or 5+ years of provider licensing and credentialing experience in a brick and mortar practice
• Your organizational skills and attention to detail are strong, allowing you to manage multiple tasks and deadlines effectively
• You excel in written communication and are capable of conveying complex information clearly and concisely
• You are adept at working within tight deadlines, consistently delivering quality results on time
• Independent and self-motivated, you thrive in virtual work environments, actively engaging with your team despite geographical distances

Responsibilities

• Be responsible for the end-to-end management of licensing, credentialing, and payer enrollment processes, ensuring compliance with all federal, state, and payer-specific requirements
• Complete licensing and credentialing tasks when applicable, including portal updates and form management
• Act as the primary contact between Firefly Health and our Licensing and Credentialing vendor, using the relationship to drive innovation and process improvement
• Coordinate with internal teams to remain informed about developments and strategy impacting licensing and credentialing activities
• Assist providers in completing licensing and credentialing related tasks efficiently, providing guidance and creating self-service tools
• Develop and maintain effective communication channels to update providers on status changes, requirements, and regulation updates
• Manage timelines and proactively address tasks to ensure all Firefly providers maintain compliance with federal, state, and payer requirements
• Establish and uphold a systematic approach to enable providers to stay up-to-date on all licensing and credentialing obligations with minimal disruption to clinical duties
• Maintain accurate and up-to-date records of all licensing and credentialing activities, ensuring transparency and accessibility for all stakeholders

Preferred Qualifications

• You have prior experience in a virtual healthcare setting, understanding the unique challenges and opportunities it presents
• You've managed internal license renewal processes, demonstrating foresight and planning in ensuring continuous provider compliance
• Your knowledge extends to KPIs relevant to L&C departments, enabling you to monitor and enhance departmental performance
• You have a track record of contributing to workflow redesign or process improvement initiatives, showing a proactive approach to enhancing operational efficiency

Benefits

Remote work, flexible hours