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8 days ago
Requirements and responsibilities
Role OverviewWe are seeking a highly organized and detail-oriented Licensing & Credentialing Specialist who thrives in dynamic environments and is motivated by the opportunity to help clinicians deliver high-quality, patient-centered care.In this role, you will manage all aspects of provider licensing, credentialing, and payer enrollment, ensuring our clinical team remains fully compliant, up-to-date, and able to practice without interruption. You will coordinate end-to-end licensing workflows, maintain accurate records across multiple systems, and act as a key liaison between clinicians, state boards, payers, and internal stakeholders. The ideal candidate is comfortable working in the details, managing many moving pieces, and being persistent in communications. You excel at spotting gaps, creating structure where it’s needed, and keeping processes running smoothly to help our clinicians care for patients without administrative delays.Why this role mattersThis isn’t your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. In a moment where access to care is more important than ever, your work will have a tangible impact on clinicians’ ability to practice and on the future of accessible healthcare across the U.S.ResponsibilitiesManage end-to-end provider licensing workflows across multiple states, including initial applications, renewals, and maintenance for all provider types (MDs, NPs, CNMs, RNs, etc.)Own payer enrollment processes for commercial and government payers (Medicaid, Medicare), from initial application through active statusMaintain and update CAQH profiles for all providersBuild and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses in provider ability to practiceServe as the primary liaison between clinicians, state medical/nursing boards, payers, and internal stakeholdersFollow up persistently and proactively with external agencies and boards to move applications forward and resolve delaysDevelop and document SOPs and workflows for licensing and credentialing processes as the company scalesPartner closely with clinical, operations, and business development teams to ensure providers are enrolled and ready to see patients on timeIdentify gaps in current processes and implement improvements to reduce administrative burden on cliniciansEnsure compliance with licensing requirements, credentialing standards, and HIPAA requirementsQualifications2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state settingHands-on experience with CAQH, state licensing portals, and payer enrollment systemsFamiliarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerationsWorking knowledge of credentialing standards and government payer enrollment processesExceptional organizational skills with the ability to manage a high volume of deadlines and follow-ups simultaneouslyStrong attention to detail with a track record of catching errors in complex documentationProactive, persistent communicator — comfortable following up with state boards, payers, and busy cliniciansSelf-starter who can build structure and process in an ambiguous, fast-moving startup environmentProficiency google sheets/excel or project management toolsHigh integrity and discretion when handling sensitive provider informationHealth, dental, and vision insurance with FSAUnlimited vacationCompensation: $60-70k/yrCompensation: $60-70 + equityEqual opportunity employerAt Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare—and bring that same vision to our workplace. We’re an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.