Apply on Employer Site

9amHealth · 1 week ago

Licensing and Credentialing Program Manager

United States

Full-time

Remote

Mid, Senior Level

$0/yr - $115K/yr

4+ years exp

9amHealth is a company specializing in cardiometabolic care, aiming to create a new standard of care for conditions like obesity and diabetes. The Licensing & Credentialing Program Manager will ensure clinicians are properly licensed and credentialed, managing compliance across various states while collaborating with multiple teams.

Health CareMedicalWellness

Responsibilities

Create, scale, and manage processes to oversee new state licenses, renewals, and credentialing with payers as needed

Liaise with a dedicated vendor to manage end to end processes for initial and renewal licensing of physicians, NPs, PAs, and pharmacists

Maintain accurate tracking of all state licenses, DEA registrations, and expiration timelines

Oversee credentialing workflows for payers, vendors, and partner platforms

Build and maintain internal databases or dashboards to track clinician status and coverage across all states

Maintain regulatory compliance by proactively flagging upcoming expirations and changes in state requirements and escalating to Clinical, Human Resources, and Compliance Partners

Own all CPA documentation, execution, and renewals across state lines

Liaise with a dedicated vendor to ensure every APP has an active collaborating physician per state-specific rules

Partner with Clinical Leadership and Legal to maintain compliance with evolving state requirements

Proactively identify upcoming CPA expirations and renewals to avoid disruptions

Manage initial license and credentialing setup, where applicable

Account provisioning, tech setup, and platform orientation

Scheduling with team members for live training

Evaluate current tools and identify automation or efficiency opportunities (e.g., licensing tracking software)

Collaborate with People Ops and Clinical to streamline onboarding workflows for new clinicians

Partner with Compliance to prepare for audits or regulatory reviews

Manage relationships with licensing and credentialing vendors to ensure accountability and SLA adherence

Serve as the operational point of contact for licensing and credentialing across departments and with credentialing organizations

Provide leadership with visibility into clinician coverage, compliance status, and upcoming renewal timelines

Collaborate closely with Clinical and Operations leaders to forecast licensing and coverage needs as we expand

Qualification

Licensing managementCredentialing processesRegulatory complianceGoogle Workspace proficiencyProject managementVendor managementAttention to detailCommunication skillsCollaboration skills