Manager, Licensing – Credentialing

🕒 il y a 10 jours

🇺🇸 États-Unis – Télétravail

💵 $90 000 - $110 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 5%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Synapticure Inc.

Site WebLinkedInTous les Emplois

11 - 50 employés

🏥 Santé

📡 Télécommunications

⚕️ Assurance santé

Healthcare • Telecommunications • Healthcare Insurance

Synapticure Inc. est une entreprise de santé spécialisée dans la fourniture de soins de télémédecine et de soutien expert pour les personnes atteintes de maladies neurodégénératives telles que la SLA, la maladie de Parkinson, la maladie d'Alzheimer et diverses formes de démence. Synapticure se concentre sur la fourniture de soins personnalisés en neurologie, en mouvement et neuromusculaire grâce à des programmes innovants tels que la CMS GUIDE, et propose des services incluant des tests génétiques proactifs, la coordination des soins, et l'accès aux essais cliniques et aux thérapies de pointe. Avec un accent sur le soutien des patients et des soignants, Synapticure garantit l'accès à des neurologues experts et à des navigateurs de soins personnalisés, offrant des services dans les 50 états. Fondée par Brian Wallach et Sandra Abrevaya, qui ont eux-mêmes une expérience personnelle avec la SLA, l'entreprise s'engage à révolutionner le système de soins pour les maladies neurodégénératives.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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.