Licensing and Credentialing Specialist jobs in United States
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Nema Health · 17 hours ago

Licensing and Credentialing Specialist

Nema Health is a survivor and clinician-led virtual program for PTSD & trauma care, dedicated to guiding trauma survivors towards healing. They are seeking a Licensing and Credentialing Specialist to manage the licensing and credentialing process for their clinical team, ensuring that providers are ready to see patients as the company expands its services.

Health CareMental HealthPersonal Health

Responsibilities

Complete initial and renewal applications for clinical state licensure for medical doctors, psychologists and therapists. Conduct follow-up and problem resolution as needed
Work closely with individual clinicians to ensure collection and maintenance of licensing materials
Track license and certification expirations for all providers to ensure timely renewals
Keep management informed of progress and escalate issues as needed related to licenses and other relevant certifications
Completes renewal process for controlled substance registrations and other relevant certifications
Organize CE requirements for medical and behavioral health staff, including management of vendor platforms that organize and support CE completion
Complete provider credentialing and re-credentialing licensing applications within state guidelines
Maintain accuracy of provider data in CAQH and internal databases
Ensure strict confidentiality of credentialing licensing files and databases
Enroll providers into new and existing health plans
Uphold all payer-specific policies and procedures
Provide project assistance to clinical, operations and product departments as needed
Build and maintain reference materials and standard operating procedures

Qualification

State licensing applicationsInsurance credentialing processesCAQH managementOrganizational skillsDetail-orientedEffective communicationProblem-solvingRelationship building

Required

3+ years of experience in state licensing applications (submissions, verifications, renewals) for medical and behavioral health providers
Experience with CAQH management and primary source verification
Experience managing insurance credentialing processes
A strength in organization and ability to prioritize multiple, sometimes conflicting, tasks
A sharp eye for detail and a level of persistence that matches the needs of this role
An ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization

Preferred

Early stage healthcare start-up experience
High School degree or higher

Benefits

PTO
A healthcare stipend
A 401(k) with matching
An annual education stipend
An annual “work from home” stipend
Paid parental leave

Company

Nema Health

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Nema provides comprehensive trauma care administered by PTSD-trained therapists.

Funding

Current Stage
Early Stage
Total Funding
$18.6M
2024-11-01Series A· $14.5M
2023-11-09Seed· $4.1M

Leadership Team

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Sofia Noori
Co-Founder and CEO
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Company data provided by crunchbase