Credentialing and Licensing Associate

Key Responsibilities

• Collect, verify, and organize all required credentialing documentation, including licenses, malpractice certificates, board certifications, and other required credentials.
• Enter and maintain accurate provider data across credentialing platforms (including CredentialStream) and internal tracking reports.
• Communicate directly with healthcare providers to clarify outstanding questions and request missing or incomplete information.
• Prepare and send DocuSign packets, credentialing checklists, and required forms to providers.
• Collapse and submit provider credentialing applications on behalf of partner clinics, including hospital systems.
• Collaborate with licensing specialists to confirm all required state licenses are actively in progress prior to submitting provider applications to partner clinics for credentialing.
• Request and collect malpractice claims history reports from providers and/or their prior insurance carriers on behalf of partner clinics.
• Track and proactively communicate credentialing barriers to relevant internal and external stakeholders to avoid delays.

Required Skills And Qualifications

• Familiarity with credentialing terminology, including COIs (Conflicts of Interest), peer references, privileges, payer enrollment, primary source verification, and CAQH/FCVS profiles.
• Understanding of the differences between MD/DO and mid-level provider (NP/PA) credentialing requirements.
• Strong attention to detail with the demonstrated ability to manage multiple providers simultaneously across various stages of the credentialing process.
• Excellent written and verbal communication skills, with the ability to professionally liaise between providers, internal teams, and partner organizations.
• Strong organizational and time-management skills; comfortable working in a deadline-driven environment.
• Proficiency with credentialing software/platforms (e.g., CredentialStream) and general comfort with data tracking tools (Excel, Google Sheets, etc.).

Preferred Qualifications

• 2+ years of credentialing experience, ideally within telehealth or multistate credentialing environments.
• Experience working with hospital systems and health system partners on provider onboarding.
• Familiarity with DocuSign or similar e-signature/document workflow platforms.

What Success Looks Like

• Providers move efficiently through the credentialing pipeline with minimal delays.
• Credentialing barriers are identified early and communicated proactively.
• Provider and credentialing data remains accurate and up to date across all systems.
• Strong, professional relationships are maintained with providers and partner clinic contacts throughout the credentialing process.

Benefits & Perks

• Hybrid work schedule with weekly lunches and stocked fridges.
• Monthly social committees for company events.
• 18 vacation days, 9 company holidays, 5 sick days, and 2 personal days.
• Stock options for every full-time employee.
• Paid parental leave.
• Competitive health, dental, and vision insurance options.
• Commuter benefits.