Manager, Licensing & Credentialing

Boulder Care

2d • $90,000 - $120,000 • Remote

About The Position

The Manager of Licensing & Credentialing leads the operations that ensure Boulder providers are fully licensed, credentialed, and enrolled to deliver care without interruption. This role oversees provider licensing, credentialing, and payor enrollment operations while leading a high-performing team and driving scalable, technology-forward processes. The ideal candidate brings strong operational leadership, sound judgment, and a continuous improvement mindset, with an interest in leveraging automation and AI-enabled solutions to improve efficiency, accuracy, and provider experience.

Requirements

• 5+ years of experience in credentialing, provider enrollment, licensing, network development, or related healthcare operations
• 2+ years of people leadership or team management experience preferred
• Strong understanding of provider credentialing, licensing, and payor enrollment operations
• Experience working with commercial and government payors, including Medicaid and Medicare
• Experience improving workflows through technology, automation, or systems optimization
• Interest in leveraging AI-enabled solutions to improve operational scalability and efficiency
• Strong organizational, problem-solving, and communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Consistently demonstrates Boulder’s core values
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
• Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards.

Nice To Haves

• 2+ years of people leadership or team management experience

Responsibilities

• Lead, coach, and develop the Licensing & Credentialing team through mentorship, feedback, and performance management
• Establish clear priorities, goals, and accountability across the team
• Foster a culture grounded in collaboration, ownership, and continuous improvement
• Monitor workload and team capacity to ensure timely and accurate execution
• Serve as an escalation point for operational issues and cross-functional coordination
• Build and maintain clear documentation, workflows, and team best practices
• Oversee end-to-end provider licensing, credentialing, re-credentialing, and payor enrollment processes across commercial and government payors
• Ensure providers are fully credentialed, licensed, and enrolled in alignment with onboarding timelines and operational needs
• Manage state licenses, DEA registrations, controlled substance certifications, and related renewals
• Ensure provider records, applications, and supporting documentation are accurate, complete, and maintained appropriately
• Track application progress and proactively address delays, risks, and operational bottlenecks
• Maintain strong relationships with payors, credentialing entities, and regulatory agencies
• Partner cross-functionally with Revenue Operations, Clinical Operations, Compliance, and other stakeholders to support provider readiness and revenue cycle performance
• Ensure compliance with organizational standards and applicable regulatory requirements
• Lead the evolution of credentialing and licensing operations through technology, automation, and AI-enabled solutions
• Identify opportunities to reduce manual work, improve accuracy, and accelerate provider onboarding timelines
• Partner cross-functionally with teams (e.g. HR, Finance, Payer Partnerships, Clinical Operations) to implement scalable systems and workflow improvements
• Evaluate and optimize credentialing platforms, tracking systems, reporting tools, and operational dashboards
• Use operational data and performance insights to improve visibility, identify trends, and drive continuous improvement

Benefits

• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
• Supplemental mental health services through Talkspace for care needed following tough patient visits
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties

What This Job Offers

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