Provider Credentialing Lead

Weight Watchers•United States - New York, NY

1d•$140,000 - $145,000•Hybrid

About The Position

WeightWatchers is a global digital health company that combines science, community, and clinical care to support sustainable healthy habits. The Provider Credentialing & Licensing Lead will design, develop, and oversee onboarding and credentialing processes for healthcare providers across 50 states and Washington, DC. This role offers the opportunity to build a best-in-class credentialing department while ensuring compliance with applicable industry standards and regulations. The position manages credentialing workflows and the full provider licensure lifecycle, including primary source verification, renewals, and tracking expirations. It also oversees advanced practice provider collaborative practice and supervision agreements. The lead will establish quality assurance measures, maintain documented procedures, and coordinate with internal teams and providers to keep records accurate and current. The role includes maintaining provider data in the credentialing database and synchronizing it with downstream clinical systems; generating reports and analytics; facilitating licensure applications and renewals; and administering credentialing platforms and related tools. The position works closely with network development, legal, compliance, leadership, and healthcare providers. The role is hybrid and eligible for a comprehensive benefits package and annual bonus program.

Requirements

Bachelor’s degree in healthcare administration, business, or a related field.
At least 7 years of experience in provider credentialing or a related healthcare role.
Strong understanding of credentialing standards, regulations, and best practices, including state requirements for advanced practice provider supervision and collaborative practice.
Hands-on experience with credentialing platforms and primary source verification tools.
Strong organizational and project management skills, with effective documentation habits.
Effective communication and interpersonal skills, including the ability to escalate issues to leadership early and clearly.

Nice To Haves

Master’s degree.
Experience with multi-state telehealth.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation.

Responsibilities

Design and roll out credentialing processes for healthcare providers, ensuring compliance with industry standards and regulatory requirements.
Develop and implement efficient workflows to streamline credentialing.
Manage providers’ full licensure lifecycle, including tracking expirations, coordinating timely renewals, and verifying license status with state boards through primary sources.
Oversee execution and renewal of advanced practice provider collaborative practice and supervision agreements, ensuring alignment with state requirements.
Implement quality assurance measures to ensure credentialing files are accurate and complete.
Conduct regular audits and address discrepancies or issues in credentialing processes.
Review upcoming license and agreement expirations and coordinate timely action with internal teams.
Maintain documented procedures for core credentialing workflows and cross-trained coverage for continuity.
Coordinate with network development, legal, and compliance teams to align credentialing processes.
Serve as a liaison to healthcare providers, responding to inquiries and providing support.
Provide status reports to leadership and proactively raise compliance risks and open items.
Maintain accurate provider credentialing data and ensure it remains synchronized with downstream clinical systems.
Generate credentialing reports and analytics for internal and external stakeholders.
Facilitate licensure applications and renewals.
Administer the credentialing platform and related tools.