Licensing and Credentialing Specialist

🔥 3 minutes ago

🏄 California, Colorado, +7 more states – Remote

🏄 California – Remote ⛰️ Colorado – Remote 🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote ☕ Washington – Remote

💵 $60k - $70k / year

⏱ Part Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Hey Jane

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2021

⚕️ Healthcare Insurance

💰 $6.1M Venture Round on 2022-10

Healthcare Insurance

Hey Jane is a virtual healthcare service provider specializing in reproductive and sexual health care. The company offers a range of services including medication abortion, emergency contraception, and treatments for UTIs, yeast infections, bacterial vaginosis, and herpes, all accessible through a virtual platform. Hey Jane provides discreet, judgment-free care with fast and affordable access to medication and expert support. They operate across several states in the U. S. , allowing patients to consult with providers online and get prescriptions delivered directly to their pharmacy or via mail. Their mission is to make reproductive health care more accessible and compassionate, ensuring privacy and support throughout the treatment process.

📋 Description

• Manage end-to-end provider licensing workflows across multiple states, including initial applications, renewals, and maintenance for all provider types (MDs, NPs, CNMs, RNs, etc.) • Own payer enrollment processes for commercial and government payers (Medicaid, Medicare), from initial application through active status • Maintain and update CAQH profiles for all providers • Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses in provider ability to practice • Serve as the primary liaison between clinicians, state medical/nursing boards, payers, and internal stakeholders • Follow up persistently and proactively with external agencies and boards to move applications forward and resolve delays • Develop and document SOPs and workflows for licensing and credentialing processes as the company scales • Partner closely with clinical, operations, and business development teams to ensure providers are enrolled and ready to see patients on time • Identify gaps in current processes and implement improvements to reduce administrative burden on clinicians • Ensure compliance with licensing requirements, credentialing standards, and HIPAA requirements

🎯 Requirements

• 2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state setting • Hands-on experience with CAQH, state licensing portals, and payer enrollment systems • Familiarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerations • Working knowledge of credentialing standards and government payer enrollment processes • Exceptional organizational skills with the ability to manage a high volume of deadlines and follow-ups simultaneously • Strong attention to detail with a track record of catching errors in complex documentation • Proactive, persistent communicator — comfortable following up with state boards, payers, and busy clinicians • Self-starter who can build structure and process in an ambiguous, fast-moving startup environment • Proficiency google sheets/excel or project management tools • High integrity and discretion when handling sensitive provider information

🏖️ Benefits

• Unlimited vacation • Health, dental, and vision insurance with FSA