Manager, Credentialing – Medical Staff Services

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $110k - $125k / year

⏰ Full Time

🔴 Lead

👔 Manager

👻 Ghost score 12%

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Prenuvo

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🤖 Artificial Intelligence

🧬 Biotechnology

💰 Debt Financing on 2022-10

Healthcare • Artificial Intelligence • Biotechnology

Prenuvo is a fast growing health tech company specializing in whole body diagnostic imaging. We are a global leader in whole body MRI screening with a track record of early detection of cancer and other major health diseases. In an era of reactive and fragmented health screening, Prenuvo is rooted in early detection through cutting-edge imaging technology. Our technology brings together comprehensive scans, AI-augmented analysis, and protocols that have been honed over years of research and practice. Together, Prenuvo’s scans offer unparalleled diagnostic accuracy for you and your doctor. We empower people to make informed decisions about their health by putting comprehensive, consistent, and detailed scans in your hands. Simply put, we offer you a window into your own body. Prenuvo is one of the first scans to use artificial intelligence to build consistent, reliable, and standardized reports for the radiologists interpreting your scans. We provide faster, easier access to the clinically-significant insights needed to make more informed health decisions. We do it to help people live longer, better, healthier lives. A more comprehensive picture of your body enables you to feel empowered and advocate for yourself.

📋 Description

• Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across required states • Define and maintain role- and state-specific licensure requirements and translate them into workflows, controls, tracking, and escalation processes • Maintain authoritative healthcare professional rosters and credentialing records • Manage renewals and monitor licensing-board status, sanctions, exclusions, and adverse-status changes • Establish deadlines, controls, and escalation pathways to prevent lapses and maintain audit readiness • Coordinate training, attestations, certifications, continuing medical education, background checks, fingerprinting, and compliance requirements • Support internal and external audits • Administer FPPE and OPPE workflows and maintain audit-ready records • Lead healthcare professional onboarding and offboarding • Coordinate credentialing, licensing, documentation, system access, training, and readiness dependencies • Establish onboarding checklists and service levels, remove bottlenecks, and escalate incomplete requirements • Establish sources of truth for credentialing, readiness, and FPPE/OPPE status • Define data ownership, reconciliation processes, quality controls, reporting standards, and accountability • Design standardized workflows using credentialing platforms and internal systems • Use approved automation and AI tools to reduce manual work and improve reliability • Measure cycle time, backlog, accuracy, readiness, service performance, and other operating metrics • Identify recurring failure points and implement scalable solutions • Serve as the centralized operational contact for clinician administrative needs and maintain service catalogs, intake processes, response standards, and escalation pathways • Improve healthcare professional reimbursement workflows, including CME, licensure, and approved professional expenses • Resolve administrative issues with Clinical Leadership, HR, Finance, Legal, Compliance, and IT • Standardize, automate, delegate, or enable self-service for recurring clinician-support requests • Partner with senior clinical and operational leaders on priorities, accountability, and operating standards • Set deadlines and service-level expectations for healthcare professionals and cross-functional partners • Escalate at-risk licenses, incomplete applications, non-responsiveness, and unresolved dependencies • Support expansion into new states and markets by ensuring healthcare professionals are operationally ready • Help define staffing, technology, vendor, and organizational strategies for credentialing and medical staff operations • Manage assigned staff, contractors, and vendors through clear roles, priorities, service levels, workload allocation, and performance expectations

🎯 Requirements

• Five or more years of progressively responsible experience in healthcare professional credentialing, multi-state licensure, medical staff services, or medical group operations • Direct experience with primary source verification, license renewals, compliance monitoring, audit-ready recordkeeping, and healthcare professional onboarding • Demonstrated success building or improving credentialing systems, workflows, operational reporting, and source-of-truth records • Experience operating in a complex, multi-state healthcare environment • Ability to establish deadlines, influence healthcare professionals and cross-functional leaders, and escalate risks constructively • Strong project management, analytical, communication, and operational problem-solving skills • Ability to move between detailed workflow execution and higher-level program design • Experience administering FPPE, OPPE, or comparable medical staff professional-practice evaluation processes, including tracking, documentation, reporting, and escalation • Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa, current or future • Successful candidates will undergo a background check • Nice to have: experience in high-growth healthcare, digital health, telehealth, or multi-site medical groups • Nice to have: experience implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes • Nice to have: experience managing credentialing staff, shared-service teams, contractors, or external vendors • Nice to have: experience designing centralized medical staff operations or healthcare professional support functions

🏖️ Benefits

• Free whole-body scans for each team member • Growth opportunities • Weekly team gatherings to connect, share, and socialize • Flexible vacation policy • Commuter Benefits Plan covering transit and parking costs • 401(k) retirement savings plan with pre-tax contributions; no company matching contributions currently offered • Comprehensive health, dental, vision, and Mental Health coverage • Opportunity to make a positive impact on people's lives and their health