Licensing and Credentialing Specialist

Description Who We Are: CirrusMD is a different kind of virtual care company. In less than a minute, patients reach a live, licensed physician and conduct a care encounter at their pace and convenience. Available 24/7/365, CirrusMD’s integrated care is delivered via multispecialty, board-certified doctors who can treat a broad range of conditions, from acute to chronic, primary care to specialty areas, including behavioral health. CirrusMD is available to 10 million users across all 50 states and is exclusively offered through employers and health plans. Learn how CirrusMD is transforming virtual care: https://www.cirrusmd.com Who We’re Looking For: CirrusMD is seeking a Licensing and Credentialing Specialist who, under limited supervision, will support the CirrusMD Provider Network’s (CMDPN) licensing and credentialing functions. The job will focus on the management and monitoring processes and procedures that support the initial application and renewals of state medical licensing. Additional tasks may include insurance & Medicaid plan enrollment processes. Ensures compliance with the appropriate accrediting and regulatory agencies. This opportunity reports to the Senior Director of Clinical Operations. This position can sit remotely anywhere in the U.S., with the flexibility to work from our Denver HQ as you’d like. Applicants must be able to work and attend meetings during our ‘core’ hours of 9:30 am-3:00 pm (Mountain Time Zone). Applicants must also be authorized to work for ANY employer in the U.S. and not just their current employer. We are unable to sponsor or take over sponsorship of employment Visas currently. Additionally, know that your application will be reviewed, but we will only be able to contact and follow up with those candidates whose applications we are able to explore at this time. What you’ll Accomplish Licensing Manages the CirrusMD Provider Network (CMDPN) licensing process for all CirrusMD clinical providers, in accordance with Federal and State laws, and CirrusMD policies. Coordinates and works with the licensing database, ensuring accuracy of data and reporting to partnering systems. Monitors critical data for extensive analysis and report generation. Works closely with physicians to successfully gather necessary information and forms for State Medical licensing applications. Communicates the status of licensing work Complete applications through to submission and approval for any work not assigned externally. Monitors and reports turnaround times of state medical licensing approval across all 50 states. Manages licensing procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to the current operating environment. Credentialing Support the CMDPN credentialing process for all CirrusMD clinical providers, in accordance with NCQA, Delegated contracts and CMS accreditation standards, Federal and State laws, and CirrusMD policies. Help to coordinate the management of the expirables process to ensure all clinical provider licenses and certificates remain current, ensuring appropriate notification prior to expiration. Function as a CMDPN credentials contact for all internal and external inquiries; develops and maintains positive working relationships. Represents CMDPN to internal and external customers as appropriate. Performs miscellaneous job-related duties as assigned.