Credentialing, Enrollment and Licensing Specialist (Licensing)

Imagine Pediatrics

2d • $55,000 - $65,000

About The Position

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
As a Licensing Specialist at Imagine Pediatrics, you will play a critical role, enabling our providers to make sure every child with complex medical conditions gets the care and support they deserve. You will:

Requirements

• 3-5+ years of experience handling Provider Licensure, preferably for multi-disciplinary Provider groups
• 5+ years of healthcare experience
• Working knowledge of clinical operations and procedures
• Ability to use independent judgment and to manage and impart confidential information
• Ability to maintain confidentiality and discretion in all communications on behalf of Imagine Pediatrics Providers
• Demonstrated advanced working knowledge of Verifiable preferred
• Advanced skills in computerized spreadsheeting and database management

Responsibilities

• Manage the end-to-end process of acquiring new licenses for multi-disciplinary Providers in states where Imagine Pediatrics plans to or currently operates.
• Communicate clearly with providers, their liaisons, medical leadership and administration, as needed, to perform primary source verification and submit complete applications on behalf of Providers.
• Complete all applications electronically or via mail as prescribed by the state boards
• Conduct primary source verification, collect, and validate documents to ensure completeness and accuracy of applications for submission to the state boards.
• Complete DEA and/or controlled substance licenses for MDs and APPs in states, as required.
• Manage renewal of Licenses, National Board Certifications, DEA Registrations, and/or controlled substance licenses to avoid any impact to patient care delivery.
• Identify, analyze, and resolve extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact the ability to secure Licensure for Providers.
• Discover and convey roadblocks to Licensure to Senior Manager for sound decision making in accordance with Bylaws, credentialing policies and procedures, federal, state, local and government/insurance agency regulations.
• Maintain professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
• Perform other duties as assigned.

Benefits

• The role offers a base salary range of $55,000 - $65,000 in addition to annual bonus, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable).
• Full medical, dental, and vision insurance
• Healthcare and Dependent Care FSA
• 401(k) with 4% match, vested 100% from day one
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid parental leave
• Additional benefits to be detailed in offer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed