License Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $55k - $82k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Maintain credentialing files and required documentation for all providers, including medical licenses, board certification, professional-liability insurance coverage, DEA, and other pertinent information • Utilize WorkDay to maintain current and accurate provider data for credentialing and recredentialing • Coordinate the expirables process to keep clinical provider licenses and certificates current and provide notifications before expiration • Track licensing status for all Devoted Medical providers • Review monthly reports on providers whose licenses will expire within 30, 60, and 90 days and communicate results to appropriate staff • Assist providers in understanding licensure requirements in each state • Collaborate with Talent and Practice Management to monitor new-hire status, verify current licensure, and ensure timely credentialing at employment start • Ensure processes comply with plan requirements, standards, bylaws, state and federal requirements, and accreditation standards • Serve as a subject matter expert on license requirements by state and share that knowledge across the organization

🎯 Requirements

• Experience in a fast-paced team environment that requires decision making and problem solving • Demonstrated ability to manage and meet multiple priorities and competing deadlines • Problem solving and organization skills with attention to details • Great team member with a can-do attitude • 4+ years experience in Medical Licensing • Working knowledge of CMS credentialing and privileging standards • Experience with provider and health plan credentialing

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program

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