Senior Manager, Licensing and Credentialing

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $110k - $140k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Galileo

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

📡 Telecommunications

🧘 Wellness

Healthcare • Telecommunications • Wellness

Galileo is a healthcare company focused on delivering care closer to patients through various channels, including at home, in the community, and via mobile devices. Their mission emphasizes accessibility and convenience in healthcare delivery.

📋 Description

• Own the end-to-end credentialing and multi-state licensing process and systems, including implementation and maintenance of policies and procedures • Oversee provider onboarding and offboarding, driving license and credentialing applications to completion, as well as ongoing credentialing • Operate the delegated credentialing program and oversee health plan credentialing audits • Manage entity-level enrollment in Medicare and Medicaid, and partner with BD on external payer credentialing discussions • Ensure all providers comply with state and federal regulations • Establish and monitor state-specific NP/MD supervision ratios, collaborative practice agreement requirements, and prescriptive authority rules • Build efficient internal workflows aligned to maximize speed, accuracy, and scalability • Establish and maintain dashboards and an efficient system of records and reports • Consult and partner with Clinical Operations, Clinical Providers, People Operations, and Talent Acquisition teams • Manage the team’s development and performance, creating an inclusive environment of high morale, motivation, and teamwork

🎯 Requirements

• 5-7 years of experience of applicable Credentialing experience • 2-4 years supervisory experience in managing and developing teams • Proven ability to thrive in a high-performing, entrepreneurial setting • Extremely high attention to detail and process-oriented • Proven ability to design, manage, and scale complex credentialing and license processes • Previous experience in the healthcare industry and provider platforms (e.g. CAQH, PECOS)

🏖️ Benefits

• Medical / Dental / Vision insurance • Flexible Spending Account • Health Savings Account • Company paid STD/LTD, AD&D, and Life insurance • Paid Family Leave • 401K + match • Paid Time Off