Licensure And Operations Coordinator

Summary

Join Twin Health's Clinical Delivery Services & Management team as a Licensure Coordinator and play a critical role in supporting licensure and credentialing operations. You will oversee the comprehensive licensing process and health plan credentialing, ensuring compliance with state and federal regulations. This role requires a detail-oriented individual with experience in healthcare licensing and credentialing, preferably in telemedicine. The position offers a competitive compensation package, comprehensive benefits, and a remote-friendly work environment. Twin Health is a rapidly growing company with a strong commitment to its employees and a mission to improve people's health and happiness. This is a pivotal time to join a company recognized for its innovation and commitment to its employees.

Requirements

• Bachelor's degree in Healthcare Administration, Business
• Must have 2+ years of proven experience in healthcare licensing and credentialing, preferably in a telemedicine or healthcare technology or equivalent education and experience
• In-depth knowledge of state-specific licensing requirements and health plan credentialing processes
• Familiarity with relevant healthcare regulations and compliance standards
• Ability to communicate and work across client organizations, engaging on a range of tactical and strategic issues, with senior executives as well as execution teams
• Exceptionally strong project management skills, with demonstrated organizational skills, high attention to detail and ability to balance between thoughtful planning and timely execution
• Ability to manage conflicting priorities and thrive in a fast-paced environment working under time constraints to manage all changes that come with a rapidly expanding organization in a high growth environment
• Proficiency with Google applications and with PM tools, such as Monday.com, and MS Project
• Can engage providers at all levels (CMOs, MDs, Medical Directors, Advanced Practitioners, care managers) and instill trust and inspire for transformation
• Applicants must be authorized to work for any employer in the U.S

Responsibilities

• Navigate and monitor the renewal and maintenance of healthcare professional licenses across all states and the District of Columbia
• Maintain a comprehensive database of licensing requirements, expiration dates, and renewal processes for each jurisdiction
• Ensure timely submission of license renewals, tracking expiration dates, and coordinating with relevant authorities to resolve any issues
• Utilize internal platforms for tracking and monitoring the licensing status across different jurisdictions
• Provide support in the licensing process by obtaining and submitting Verifications and Peer references from Twin Health
• Support all tracking of continuing medical education requirements by state and license type and by individual
• Maximize timeliness and meeting of deadlines to avoid late fees, gaps in licensure, and inefficiencies
• Support and establish the Collaboration/Supervision Relationships for incoming providers and any for new licenses obtained requiring the relationship in order to practice
• Assist in management of the credentialing process for healthcare providers with various health plans
• Collaborate with internal teams to collect and organize required credentialing documents and information
• Work closely with health plans to ensure the timely and accurate completion of credentialing processes
• Timely submission of New Payer requests and tracking their status on All platforms
• Maintain and assist providers with their CAQH profiles
• Stay informed about changes in licensing requirements and regulations to ensure ongoing compliance
• Stay informed about changes in licensing and credentialing regulations across states and the District of Columbia
• Ensure that the organization adheres to all regulatory requirements and standards related to licensing and credentialing
• Develop and implement policies and procedures to enhance compliance and efficiency in licensing and credentialing processes
• Develop and implement processes to monitor ongoing compliance with licensing and credentialing requirements
• Conduct regular audits to ensure that all documentation and processes meet regulatory standards
• Support care team onboarding and off boarding actionable
• Liaise with healthcare professionals, internal teams, and external agencies to address inquiries related to licensing and credentialing
• Collaborate with legal and compliance teams to address any legal or regulatory issues related to licensing and credentialing
• Generate regular reports on the status of license renewals, credentialing activities, and potential areas for improvement
• Analyze and maintain data to identify trends, timelines, areas for improvement, and opportunities to streamline processes
• Support reporting and analysis for regionalization work and optimization of licensure and geography
• Tracking the licenses status, RX authorizations, and Supervision Collaborations in SF and do regular audits to make sure the data is up-to-date
• Maintain the data migration of Renewals and New Licenses to the CE Platform
• Additional duties as assigned

Benefits

• The compensation range for this position is $50,000-$55,000 annually
• A competitive compensation package in line with leading technology companies
• As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments
• Opportunity for equity participation
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan