Manager, Licensing – Credentialing

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $90k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 6%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Synapticure Inc.

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

📡 Telecommunications

⚕️ Healthcare Insurance

Healthcare • Telecommunications • Healthcare Insurance

Synapticure Inc. is a healthcare company that specializes in providing expert telehealth care and support for individuals with neurodegenerative diseases such as ALS, Parkinson’s, Alzheimer’s, and various forms of dementia. Synapticure focuses on delivering personalized cognitive, movement, and neuromuscular care through innovative programs such as the CMS GUIDE, and offers services including proactive genetic testing, care coordination, and access to clinical trials and cutting-edge therapies. With an emphasis on supporting both patients and caregivers, Synapticure ensures access to expert neurologists and personalized care navigators, offering services across all 50 states. Founded by Brian Wallach and Sandra Abrevaya, who have personal experiences with ALS, the company is committed to revolutionizing the care system for neurodegenerative diseases.

📋 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.