Credentialing, Licensing and Privileging Manager

Harrison.ai Services

1d•Remote

About The Position

This role combines credentialing, licensing, and privileging across hospitals, practices, and states. Ownership of each domain below includes responsibility for building, scaling, and/or sustaining a functional system, with hands-on involvement during early development and the ability to delegate execution as the system matures. This is a pivotal role in ensures we can safely, compliantly, and efficiently deliver radiology services as the practice scales.

Requirements

5+ years’ experience in credentialing roles within healthcare environments
Demonstrated ownership of physician credentialing, licensing, and privileging processes across multiple states and facilities
Experience supporting or partnering with medical leadership and physician groups
Proven ability to manage complex, compliance-driven operational workflows
Direct experience with IMLC, FCVS and CAQH at scale
Experience with delegated credentialing and NCQA standards
Strong understanding of US physician credentialing, privileging, and regulatory frameworks (CMS, NCQA, Joint Commission, hospital bylaws)
Working knowledge of multi-state licensure management and teleradiology-specific compliance considerations
Understanding of physician employment and contracting models (W2, 1099, locums, MSO-supported)
Strong organizational skills with exceptional attention to detail
Excellent stakeholder management and communication skills

Nice To Haves

Experience in teleradiology, MSO environments, or multi-site physician practices
Exposure to credentialing systems (e.g., MD-Staff, symplr, or similar)
CPCS, CPMSM credentialing certification

Responsibilities

Own the full lifecycle of physician credentialing for Frontier Radiology, including initial credentialing, recredentialing, expedited onboarding, and ongoing monitoring
Manage multi-state medical licensure processes, including IMLC applications, renewals, verifications, and lapse prevention
Oversee collection, primary source verification, and maintenance of all required physician credentials, including: Medical education and training, Board certification (ABR), DEA, NPI, Medicare/Medicaid enrollment, CME compliance, Malpractice insurance and claims history
Manage hospital, facility, and practice privileging processes, including applications, renewals, and reappointments
Serve as the primary liaison with hospital medical staff offices, credentialing committees
Ensure all credentialing and privileging files are complete, accurate, and audit-ready
Maintain FCVS and CAQH records at scale
Lead delegated credentialing arrangements with hospitals, including audits and annual oversight
Ensure compliance with federal, state, and local regulations and credentialing standards (NCQA, Joint Commission, hospital bylaws) related to physician employment, credentialing, and clinical service delivery
Proactively identify and mitigate credentialing, licensing, or privileging risks that could impact patient care or contractual obligations
Prepare for and support internal and external audits, and lead Joint Commission accreditation activities — readiness, evidence preparation, mock surveys, and ongoing standards compliance
Develop, document, and maintain scalable credentialing policies, SOPs, and controls as Frontier Radiology grows
Monitor OIG, SAM, NPDB, and state sanction databases on required cadences
Partner with Operations, Medical Leadership, MSO partners, and engineering/data teams to automate, streamline, and continuously improve credentialing workflows and reduce manual touchpoints
Implement and maintain tracking systems and dashboards, and report KPIs — time-to-credential, time-to-privilege, expirables compliance, and reappointments
Support expansion into new states, hospitals, and contracts by ensuring credentialing and licensing readiness
Contribute to continuous improvement of physician workforce processes as Frontier Radiology scales