Manager, Credentialing & Medical Staff Services

Prenuvo

8h • $110,000 - $125,000

About The Position

Prenuvo is seeking a Manager, Credentialing & Medical Staff Services to build and lead a centralized function supporting multi-state credentialing and licensure, clinician onboarding, compliance, FPPE/OPPE administration, and related medical staff services. This high-impact role combines hands-on operational ownership with function building, including stabilizing critical workflows, modernizing systems, and shaping the service model and team needed to support more than 200 healthcare professionals as Prenuvo Medical Group grows.

The manager will own credentialing, licensing, compliance monitoring, healthcare professional onboarding and offboarding, medical staff operations, systems and reporting, and operational improvement. The role partners with clinical and operational leaders and cross-functional teams, supports expansion into new states and markets, and manages assigned staff, contractors, and vendors. Clinical leaders retain responsibility for FPPE/OPPE evaluation content and decisions.

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, currently or in the future. The base salary range is $110,000 to $125,000 USD, depending on experience and geographic location.

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.
• 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, currently or in the future.

Nice To Haves

• Experience in a high-growth healthcare, digital-health, telehealth, or multi-site medical group.
• Experience implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes.
• Experience managing credentialing staff, shared-service teams, contractors, or external vendors.
• Experience designing centralized medical staff operations or healthcare professional support functions.

Responsibilities

• Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for in-scope healthcare professionals across required states.
• Partner with Legal and Clinical Leadership to define and maintain role- and state-specific licensure requirements and translate them into documented workflows, controls, tracking, and escalation processes.
• Maintain an accurate, authoritative healthcare professional roster and credentialing records, including documentation, application status, expiration dates, restrictions, and at-risk items.
• Manage renewals and coordinate monitoring of licensing-board status, sanctions, exclusions, and other applicable adverse-status changes.
• Establish advance deadlines, controls, and escalation pathways to prevent avoidable lapses and maintain audit readiness.
• Coordinate required training, attestations, certifications, continuing medical education requirements, background checks, fingerprinting, and other applicable compliance requirements.
• Support internal and external audits and keep required records accurate, complete, and accessible.
• Administer FPPE and OPPE workflows by maintaining review schedules, sending reminders, tracking completion, escalating overdue items, and maintaining audit-ready records.
• Lead operational onboarding and offboarding for healthcare professionals within the role’s scope.
• Coordinate credentialing, licensing, documentation, system access, training, and other readiness dependencies against accountable owners and target dates.
• Establish onboarding checklists and service levels, remove bottlenecks, and escalate incomplete requirements before they affect start dates or clinical operations.
• Establish and maintain an authoritative source of truth for credentialing, healthcare professional readiness, and FPPE/OPPE status.
• Define data ownership, reconciliation processes, quality controls, reporting standards, and accountability across systems.
• Design standardized, trackable workflows using credentialing platforms and internal systems, and use company-approved automation and AI tools to improve operational reliability.
• Measure cycle time, backlog, accuracy, readiness, service performance, and other key operating metrics; identify recurring failure points and implement scalable solutions.
• Serve as the centralized operational point of contact for defined clinician administrative needs and maintain a documented service catalog, intake process, response-time standards, and escalation pathways.
• Own and continuously improve healthcare professional reimbursement workflows, including continuing medical education, licensure, and other approved professional expenses.
• Resolve practice-related administrative issues in partnership with Clinical Leadership, Human Resources, Finance, Legal, Compliance, and Information Technology.
• Standardize, automate, delegate, or enable self-service for recurring requests to build a responsive, scalable clinician-support model.
• Partner with senior clinical and operational leaders to establish priorities, accountability, and operating standards.
• Set submission deadlines and service-level expectations for healthcare professionals and cross-functional partners whose actions affect readiness.
• Proactively escalate at-risk licenses, incomplete applications, healthcare professional non-responsiveness, and unresolved organizational dependencies.
• Support expansion into new states and markets by ensuring healthcare professionals are operationally ready to practice.
• Help define the future staffing model, technology roadmap, vendor strategy, and organizational structure for credentialing and medical staff operations.
• Manage assigned staff, contractors, and vendors by establishing roles, priorities, service levels, workload allocation, and performance expectations.

Benefits

• Free whole-body scans for each team member.
• Growth opportunities and flexible career paths.
• Weekly team gatherings to connect, share, and socialize.
• Flexible vacation policy, with encouragement to use time away.
• Commuter Benefits Plan to help cover transit and parking costs.
• 401(k) retirement savings plan with pre-tax contributions; no company matching contributions currently offered.
• Comprehensive health, dental, and vision benefits, including mental health coverage.

What This Job Offers

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