Credentialing Operations Coordinator

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Vida Health

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Healthcare Insurance • Wellness • SaaS

Vida Health is a company committed to improving health outcomes for various physical and mental health conditions, including diabetes, obesity, depression, and hypertension. They offer personalized, human-led care combined with digital technology to manage and treat these complex conditions. Vida Health partners with employers, health plans, and consultants to provide comprehensive health solutions. Their services include video chats and text-based messaging with healthcare providers, and they utilize machine learning and synced devices to personalize member care. They focus on significant cost savings and improved health outcomes for cardiometabolic conditions, guaranteeing results and offering up to 100% of fees at risk for both physical and mental healthcare.

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🧘 Wellness

☁️ SaaS

📋 Description

• Track all provider licensing and credentialing operations through Medallion, including new license applications, renewals, re-credentialing and ongoing file maintenance. • Complete, submit and follow up on credentialing requests and applications on a regular schedule that will result in faster turnaround times. • Resolve any deficiencies with credentialing or licensing in compliance with regulatory requirements. • Set up and manage provider information in multiple platforms. • Support the execution, renewal and tracking of Collaborative Practice Agreements (CPAs) for Nurse Practitioners in applicable states, coordinating signatures and submissions in partnership with Supervising Physicians. • Verify NPIs, DEA numbers, board certifications and other provider enrollment data to maintain integrity across Medallion, CAQH and internal Vida systems. • Ensure strict HIPAA compliance and confidentiality in all data handling. • Collaborate with Compliance to maintain NCQA-compliant credentialing files and assist with internal audits. • Serve as a subject matter resource for licensing, credentialing and CPA workflows internally and externally. • Resolve deficiencies, discrepancies and expired documentation within established timelines. • Communicate professionally and proactively with providers, boards and internal teams to ensure a smooth credentialing and licensing experience. • Other duties as assigned.

🎯 Requirements

• Associates degree at a minimum. • CPCS certification preferred. • 1-2 years of experience in provider licensing, credentialing or enrollment, preferably in telehealth. • Experience with licensing platforms- i.e IMLC, eNLC, state board websites. • Proficiency with Medallion and CAQH. • Knowledge of state licensing and collaborative practice agreement requirements for Nurse Practitioners. • Decisiveness and attention to detail: you can catch even the smallest errors. • Resourceful: you usually have the answer, but when you don’t, you know where to find it. • Continuous improvement mindset: you are always looking for ways to go from “good” to “great” in order to support team efficiency.