Manager, Licensing – Credentialing

🕒 Outubro 14

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $90.000 - $110.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 3%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 28 dias.
• As vagas desta empresa costumam ser preenchidas em 67 dias.

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Synapticure Inc.

SiteLinkedInTodas as Vagas

11 - 50 funcionários

🏥 Saúde

📡 Telecomunicações

⚕️ Seguro de Saúde

Healthcare • Telecommunications • Healthcare Insurance

A Synapticure Inc. é uma empresa de saúde que se especializa em fornecer cuidados e suporte especializados em telemedicina para indivíduos com doenças neurodegenerativas, como ELA, Parkinson, Alzheimer e várias formas de demência. A Synapticure foca em oferecer cuidados cognitivos, de movimento e neuromusculares personalizados por meio de programas inovadores como o CMS GUIDE e oferece serviços que incluem testes genéticos proativos, coordenação de cuidados e acesso a ensaios clínicos e terapias de ponta. Com ênfase em apoiar tanto pacientes quanto cuidadores, a Synapticure garante acesso a neurologistas especialistas e a navegadores de cuidados personalizados, oferecendo serviços em todos os 50 estados. Fundada por Brian Wallach e Sandra Abrevaya, que têm experiências pessoais com ELA, a empresa se compromete a revolucionar o sistema de cuidados para doenças neurodegenerativas.

Descrição

• Lead Synapticure's licensing, credentialing, and payer enrollment function. • Own provider onboarding and offboarding, including license pathway determinations, compact licensure assessments, start-date sequencing, transcript/employment verification, COI tracking, sanction/exclusion screening, DEA registration, license deactivation, payer enrollment deactivation, supervision agreement deactivation, payer notification, and record archiving. • Support and oversee multi-state provider licensing applications and renewals, maintaining the Master Licensing Sheet and State Coverage Maps. • Support and oversee payer enrollment and credentialing across Medicare, Medicaid, and commercial payers, including CAQH/Availity management, revalidations, and re-credentialing cycles. • Monitor APP restrictions, practice authority, and state board notifications for regulatory compliance. • Act as escalation point for complex licensing, credentialing, billing, and care operational questions. • Execute and maintain collaboration/supervision agreement tracking and routine drafting. • Execute Credentialing Committee logistics, including scheduling, agendas, and documentation. • Support payer contracting, denials, and appeals. • Manage and coach the Licensing & Credentialing team through workload distribution, feedback, performance management, and professional development. • Set team priorities, process standards, quality checks, and SOP Playbooks. • Partner with the Director of Practice Operations on team capacity, staffing, and workflow design. • Own regulatory and compliance documentation and support audits. • Maintain tracking and metrics for license status, credentialing turnaround time, expirables, and payer rosters. • Drive continuous improvement through tracking technology, systems optimization, and automation. • Lead internal and external communications regarding licensing and enrollment status.

🎯 Requisitos

• 5+ years of direct, hands-on experience in state provider licensing, credentialing, and payer enrollment/revalidation workflows. • 2-3+ years of team leadership or people management experience managing a licensing and credentialing team or operational function. • Solid understanding of the broader U.S. healthcare landscape, including payers, regulatory environment, and telehealth care delivery models. • Working knowledge of compact licensure pathways: IMLC, PSYPACT, NLC, and APRN Compact. • Strong organizational and documentation skills, with comfort owning ambiguous, detail-heavy processes independently. • Familiarity with credentialing/licensing tracking software and CAQH/PECOS. • Experience supporting CMS reimbursement programs or PC-MSO structures. • CPCS or CPMSM certification, or actively pursuing. • Background in a multi-market, high-growth, or telehealth healthcare environment. • Familiarity with automation or technology integrations to optimize credentialing workflows. • Synapticure is unable to provide work visa sponsorship.

🏖️ Benefícios

• Remote First: Work from anywhere in the 50 United States, with home office technology provided. • Medical, dental, and vision insurance options for you and your family. • 401(k) plan with employer matching. • Short- and long-term disability insurance. • Basic and supplemental life insurance. • 15 vacation days. • 5 sick days. • 12 paid holidays. • 2 floating holidays. • Fully paid end-of-year company holiday break. • Family-building and fertility services through Kindbody (where available) at a 20% discount. • 24/7 mental health support via Health Advocate and Talkspace, including 12 free on-demand sessions per year. • Access to One Medical.

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