Credentialing Operations Coordinator jobs in United States
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Vida Health · 1 day ago

Credentialing Operations Coordinator

Vida Health is a virtual, personalized obesity care provider dedicated to improving healthcare outcomes. The Credentialing Operations Coordinator will support compliance and provider operations by managing licensing, credentialing, and collaborative practice agreements across all states.

Health CareMedicalmHealthPersonal HealthTherapeutics
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Responsibilities

Track all provider licensing and credentialing operations through Medallion, including new license applications, renewals, re-credentialing and ongoing file maintenance
Complete, submit and follow up on credentialing requests and applications on a regular schedule that will result in faster turnaround times
Resolve any deficiencies with credentialing or licensing in compliance with regulatory requirements
Set up and manage provider information in multiple platforms
Support the execution, renewal and tracking of Collaborative Practice Agreements (CPAs) for Nurse Practitioners in applicable states, coordinating signatures and submissions in partnership with Supervising Physicians
Verify NPIs, DEA numbers, board certifications and other provider enrollment data to maintain integrity across Medallion, CAQH and internal Vida systems
Ensure strict HIPAA compliance and confidentiality in all data handling
Collaborate with Compliance to maintain NCQA-compliant credentialing files and assist with internal audits
Serve as a subject matter resource for licensing, credentialing and CPA workflows internally and externally
Resolve deficiencies, discrepancies and expired documentation within established timelines
Communicate professionally and proactively with providers, boards and internal teams to ensure a smooth credentialing and licensing experience
Other duties as assigned

Qualification

CPCS certificationProvider licensing experienceCredentialing experienceMedallion proficiencyCAQH proficiencyState licensingLicensing platformsResourcefulnessContinuous improvement mindsetAttention to detail

Required

Associates degree at a minimum
1-2 years of experience in provider licensing, credentialing or enrollment, preferably in telehealth
Experience with licensing platforms- i.e IMLC, eNLC, state board websites
Proficiency with Medallion and CAQH
Knowledge of state licensing and collaborative practice agreement requirements for Nurse Practitioners
Decisiveness and attention to detail: you can catch even the smallest errors
Resourceful: you usually have the answer, but when you don't, you know where to find it
Continuous improvement mindset: you are always looking for ways to go from 'good' to 'great' in order to support team efficiency

Preferred

CPCS certification preferred

Company

Vida Health

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Vida Health is a virtual care platform that provides health coaching from experienced health care providers and medical institutions.

Funding

Current Stage
Late Stage
Total Funding
$216.5M
Key Investors
Ally Bridge Group,Canvas Prime,General Atlantic,Hercules CapitalAVP,Centene,General AtlanticAlly Bridge Group
2023-11-09Series Unknown· $28.5M
2021-05-05Series D· $110M
2020-04-30Series Unknown· $25M

Leadership Team

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Joe Murad
Chief Executive Officer
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Jason Macaleer
Chief Strategy Officer (CSO)
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Company data provided by crunchbase