Senior Manager, Licensing and Credentialing

Author Health, LLC• US,

2d•$100,000 - $113,000•Remote

About The Position

At Author Health, we’re revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don’t just treat symptoms. We treat people — fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn’t a checkbox. It’s how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient’s experience, and we’re creating a workplace where team members can show up as their full selves, too. If you’re driven by purpose, ready to shake up the status quo, and eager to make a real impact in people’s lives, we’d love to meet you. Let’s build the future of mental health care together! Summary & Objective: We are a fast-growing telehealth company seeking an experienced and strategic Senior Manager, Licensing and Credentialing. This role is responsible for overseeing all aspects of licensing and credentialing program including leading delegated credentialing and licensing — ensuring we meet regulatory requirements, maintain the highest standards of integrity, and credential clinicians on time to meet business goals. The ideal candidate is a proactive problem-solver with deep expertise in licensing and payor credentialing operations, particularly in a telehealth or multi-state environment. You will serve as the primary point of contact for all licensing and credentialing matters, working closely with leadership, clinical teams, and vendors to build a scalable, reliable function.

Requirements

Direct experience managing delegated credentialing programs, including NCQA standards, payer delegated agreements, and multi-state licensing requirements.
Forward-thinking and innovative mindset, with a proven track record of leveraging AI, automation, or continuous improvement methodologies to streamline complex operational workflows.
Proven ability to manage credentialing and licensing vendors, with experience holding vendors accountable to timelines and quality standards.
Experience hiring, leading and performance managing teams
Experience scaling licensing and credentialing functions in a startup or fast-growth healthcare or telehealth environment.
Operational fluency in clinical, care management, and data exchange processes common in value-based care or telehealth organizations.
Exceptional communication and influencing skills — able to work cross-functionally and advise both executive leadership and front-line clinical teams.
Strong project management skills with the ability to execute in a dynamic, ambiguous environment and drive multiple workstreams simultaneously.
5–7 years of experience in licensing and credentialing, preferably with a mental health or behavioral health provider.
3+ years of direct experience managing credentialing and/or licensing functions, including delegated credentialing programs.
Experience working with Medicare, Medicare Advantage, and Medicaid programs.
Proficiency in credentialing and provider data management software; direct experience utilizing specific technology vendor s strongly preferred.
Bachelor's degree in a related field or equivalent experience required.

Nice To Haves

Experience in a telehealth or multi-state provider environment is strongly preferred.
Advanced degree or professional certifications (such as CPCS or CPMSM from NAMSS) are strongly preferred.

Responsibilities

Develop and execute a proactive licensing and credentialing program that accounts for incoming clinician volume, target states, and payer panels — ensuring timely licensing and credentialing that meets business growth goals and launch timelines.
Own and manage the company's delegated credentialing function, ensuring compliance with NCQA standards and payer requirements across all applicable states.
Serve as the primary relationship owner for all licensing and credentialing vendors — managing performance, accountability, and contract compliance.
Act as the operational liaison between credentialing vendors and clinicians, facilitating clear communication, resolving bottlenecks, and ensuring a smooth clinician experience throughout the licensing and credentialing process.
Work with Compliance team on payor audits, OIG and SAM exclusion reporting for external vendors, and other regulatory filings. Ensure that our licensing and credentialing processes meet or exceed industry and regulatory standards
Lead the NCQA certification process to bring licensing and credentialing in-house, ensuring all requirements are met and documented.
Proactively track and execute state license renewals, DEA registrations, and payer re-credentialing to prevent lapses in billing or practice status.
Direct the creation, attestation, and maintenance of clinician CAQH profiles, and ensure the submission of accurate provider rosters to health plans.
Serve as the primary business owner for the credentialing vendor platform, ensuring data integrity, secure document retention, and workflow automation.
Proactively identify opportunities to modernize licensing and credentialing workflows, leveraging AI, automation, and emerging technologies to reduce manual data entry, drive operational efficiency, and scale the function.
Establish and report on key performance indicators (KPIs) to executive leadership, such as credentialing turnaround times, application defect rates, and vendor SLA adherence.