Licensing and Credentialing Manager
BrightlinePediatric Behavioral company
Remote$80K - $90KManager
Google Ventures
KKR
Oak HC/FT
Optum Ventures
Threshold
7wireVentures
Operations & Strategy
About the role
TL;DR
Manage provider licensing and payer credentialing to ensure revenue readiness.
- •As Manager, Licensing & Credentialing, you own the machinery that keeps every provider licensed, enrolled, and revenue-ready across every state and every payer network Brightline works with.
- •This is a remote, individual contributor role.
- •Key Responsibilities Own the CertifyOS vendor relationship and direct its day-to-day work.
- •Oversee all provider licensing and license renewals across multiple states.
- •Manage all commercial, Medicaid, and managed Medicaid payer credentialing activities end-to-end.
- •Own payer roster management and ensure provider roster submissions are accurate and timely.
- •Develop and maintain strong relationships with payer credentialing representatives.
- •Requirements Bachelor's degree or equivalent experience. 5+ years of provider licensing and payer credentialing experience.
- •Strong understanding of CAQH, NPPES, PECOS, Medicare/Medicaid enrollment, and commercial payer credentialing.
- •Excellent communication, negotiation, and relationship management skills.
- •Experience managing multi-state provider licensing and vendor relationships.
Required skills
Vendor ManagementContract ManagementNegotiationExcelPowerPoint
Domain expertise
healthcare
Benefits & perks
Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, 401k, 12 Company Holidays, Floating Holidays, Holiday Shutdown, Flexible Time Off, Parental Leave, Health and Wellness Stipend, Home Office Reimbursement, Professional Development Reimbursement, Stock Options
Tech stack
GitExcelPowerPoint