Licensing and Credential Specialist- Remote
About Aware Health
50% of the workforce shows up to work in pain or impairments due to musculoskeletal conditions ranging from acute pain, like muscle strains, to more chronic pain. People with MSK conditions are often misdiagnosed and are treated passively with opioids, injections, or surgery.Frequently, these expensive and risky treatment methods can be avoided altogether with more modern approaches to preventing, diagnosing, and treating MSK pain. Our platform gets people the right help, avoiding inappropriate and unnecessary tests, drugs, and surgeries.
Our approach has resulted in positive outcomes for our members and has saved self-funded employers up to 59% annually in MSK costs.
Location: Remote
About the Job
We seek a Credentialing and Licensing Specialist to help secure physical therapy licenses in all 50 states. As we continue to grow, we constantly search for exceptional talent to join our team. This position is remote, and applicants from all states are encouraged to apply.
As the Credentialing and Licensing Specialist, you will be a subject matter expert regarding healthcare regulatory requirements across all 50 states. You will monitor our providers' credentials and licensure status, be proactive in renewing them before their expiration date, and provide credentialing support and leadership.
KPIs:
- Speed of licensure: 2 weeks for compact licenses and 1 month for non-compact license, utilization temp licenses when possible
- 100% CMEs/renewals without paying late fees
- # physician POCs sent with >80% response rate
- Submit initial licensure applications within 2 days of request
- Day to day telehealth compliance up to date with changing board rules
Key Responsibilities:
- Track credentialing and licensing status for our providers
- Monitor and update the current status of all provider credentials and licenses to ensure compliance with state and federal regulations.
- Implement and manage an effective credentialing and licensure program
- Develop and oversee a robust program ensuring all providers meet the qualifications and maintain up-to-date credentials.
- Lead and monitor all credentialing, re-credentialing, and provider enrollment processes.
- Maintain a database of provider certifications and renewal dates
- Keep detailed records of all provider certifications, including expiration and renewal dates, to prevent lapse in licensure.
- Confirm that provider credentials match their job requirements, including ensuring compliance with direct access laws.
- Help providers renew their credentials on time by finding test dates and locations.
- Assist providers in locating appropriate testing sites and scheduling exam dates to facilitate timely credential renewals.
- Ensure staff coordination and administration of the credentialing and licensing process for certified staff and providers.
- Assist with cross-state licensure process.
- Review, analyze, and create practitioner credentialing applications, privileging forms, and standardized communications to improve communication and compliance.
- Identify and communicate all concerns regarding practitioner credentialing and enrollment to appropriate parties; follow up when necessary to ensure affected parties and departments are notified of concerns in a proper time frame.
- Monitor and address any issues related to credentialing and enrollment, ensuring timely communication and resolution.
- Communicate with government agencies.
- Other duties as assigned by management
What you’ll bring:
- At least one year of experience in licensing, regulatory affairs, or a related field, preferably in the healthcare industry, or ability to learn quickly.
- Excellent organizational skills with a high level of attention to detail.
- Strong communication and interpersonal skills, with the ability to effectively interact with state boards, internal teams, and physical therapists.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Preferred Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field.
- Familiarity with state-specific licensing requirements for healthcare professionals.
- Experience in a physical therapy or healthcare setting.
- Certified in Healthcare Compliance (CHC) or similar certification.
- Proficiency in Google Workspace
Work Environment:
This is a fully remote position that offers flexibility in the work location. The Licensing Specialist must maintain a professional home office environment for focused work and regular virtual communication with team members, state licensing boards, and other stakeholders.The role requires reliable internet access and time management in a self-directed work setting. While this position offers autonomy, it requires regular collaboration and communication through virtual meetings, email, and project management tools.
Benefits:
- Medical (PPO, HMO, HDHP), dental and vision
- FSA administration
- Life Insurance
- Short/long-term disability
- Employee Assistance Program (EAP)
- Paid time off and holidays
- 401K
We are an Equal Opportunity Employer - We celebrate diversity and believe it is the key to creating vibrant, healthy communities! We encourage applicants from all cultures, races, colors, religions, sexes, national or regional origins, ages, disability status, sexual orientation, gender identity, military, protected veteran status, or other status protected by law.