Manager, Credentialing – Medical Staff Services

🕒 Outubro 15

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $110.000 - $125.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Gerente

👻 Score fantasma 16%

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• Aberta há 27 dias.
• As vagas desta empresa costumam ser preenchidas em 36 dias.

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Prenuvo

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

🤖 Inteligência Artificial

🧬 Biotecnologia

💰 Debt Financing em 2022-10

Healthcare • Artificial Intelligence • Biotechnology

A Prenuvo é uma empresa de tecnologia em saúde em rápido crescimento, especializada em imagem diagnóstica de corpo inteiro. Somos líderes globais em triagem de ressonância magnética de corpo inteiro, com histórico de detecção precoce de câncer e outras doenças importantes.No cenário de triagens de saúde reativas e fragmentadas, a Prenuvo está enraizada na detecção precoce através de tecnologia de imagem de ponta. Nossa tecnologia reúne varreduras abrangentes, análise aumentada por IA e protocolos aperfeiçoados ao longo de anos de pesquisa e prática. Juntas, as varreduras da Prenuvo oferecem precisão diagnóstica incomparável para você e seu médico.Nós capacitamos as pessoas a tomarem decisões informadas sobre sua saúde, oferecendo varreduras abrangentes, consistentes e detalhadas em suas mãos. Em suma, oferecemos uma janela para o interior do seu próprio corpo.A Prenuvo é uma das primeiras a usar inteligência artificial para construir relatórios consistentes, confiáveis e padronizados para os radiologistas que interpretam suas varreduras.Oferecemos um acesso mais rápido e fácil a insights clinicamente significativos necessários para tomar decisões de saúde mais informadas. Fazemos isso para ajudar as pessoas a viverem vidas mais longas, melhores e mais saudáveis. Uma visão mais abrangente do seu corpo permite que você se sinta capacitado e defenda seus interesses.

Descrição

• Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across required states • Define and maintain role- and state-specific licensure requirements and translate them into workflows, controls, tracking, and escalation processes • Maintain authoritative healthcare professional rosters and credentialing records • Manage renewals and monitor licensing-board status, sanctions, exclusions, and adverse-status changes • Establish deadlines, controls, and escalation pathways to prevent lapses and maintain audit readiness • Coordinate training, attestations, certifications, continuing medical education, background checks, fingerprinting, and compliance requirements • Support internal and external audits • Administer FPPE and OPPE workflows and maintain audit-ready records • Lead healthcare professional onboarding and offboarding • Coordinate credentialing, licensing, documentation, system access, training, and readiness dependencies • Establish onboarding checklists and service levels, remove bottlenecks, and escalate incomplete requirements • Establish sources of truth for credentialing, readiness, and FPPE/OPPE status • Define data ownership, reconciliation processes, quality controls, reporting standards, and accountability • Design standardized workflows using credentialing platforms and internal systems • Use approved automation and AI tools to reduce manual work and improve reliability • Measure cycle time, backlog, accuracy, readiness, service performance, and other operating metrics • Identify recurring failure points and implement scalable solutions • Serve as the centralized operational contact for clinician administrative needs and maintain service catalogs, intake processes, response standards, and escalation pathways • Improve healthcare professional reimbursement workflows, including CME, licensure, and approved professional expenses • Resolve administrative issues with Clinical Leadership, HR, Finance, Legal, Compliance, and IT • Standardize, automate, delegate, or enable self-service for recurring clinician-support requests • Partner with senior clinical and operational leaders on priorities, accountability, and operating standards • Set deadlines and service-level expectations for healthcare professionals and cross-functional partners • Escalate at-risk licenses, incomplete applications, non-responsiveness, and unresolved dependencies • Support expansion into new states and markets by ensuring healthcare professionals are operationally ready • Help define staffing, technology, vendor, and organizational strategies for credentialing and medical staff operations • Manage assigned staff, contractors, and vendors through clear roles, priorities, service levels, workload allocation, and performance expectations

🎯 Requisitos

• Five or more years of progressively responsible experience in healthcare professional credentialing, multi-state licensure, medical staff services, or medical group operations • Direct experience with primary source verification, license renewals, compliance monitoring, audit-ready recordkeeping, and healthcare professional onboarding • Demonstrated success building or improving credentialing systems, workflows, operational reporting, and source-of-truth records • Experience operating in a complex, multi-state healthcare environment • Ability to establish deadlines, influence healthcare professionals and cross-functional leaders, and escalate risks constructively • Strong project management, analytical, communication, and operational problem-solving skills • Ability to move between detailed workflow execution and higher-level program design • Experience administering FPPE, OPPE, or comparable medical staff professional-practice evaluation processes, including tracking, documentation, reporting, and escalation • Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa, current or future • Successful candidates will undergo a background check • Nice to have: experience in high-growth healthcare, digital health, telehealth, or multi-site medical groups • Nice to have: experience implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes • Nice to have: experience managing credentialing staff, shared-service teams, contractors, or external vendors • Nice to have: experience designing centralized medical staff operations or healthcare professional support functions

🏖️ Benefícios

• Free whole-body scans for each team member • Growth opportunities • Weekly team gatherings to connect, share, and socialize • Flexible vacation policy • Commuter Benefits Plan covering transit and parking costs • 401(k) retirement savings plan with pre-tax contributions; no company matching contributions currently offered • Comprehensive health, dental, vision, and Mental Health coverage • Opportunity to make a positive impact on people's lives and their health

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