Director, Credentialing & Licensing (Remote)

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Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine.  Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock.  Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption.  Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements.  The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

About Us:

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community. 

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

  • Aim for Understanding
  • Be All In
  • Bring Your Whole Self
  • Lean Into Discomfort
  • Put Members First

About the Role:

We are seeking a Director, Credentialing & Licensing to lead the team that manages day-day operations, and process improvement for these important services for clinicians (ex. MD, NP, PA, LCSW, RD, PharmD) at Cityblock Health. You will also lead development of new processes, such as hospital privileging and licensing of different types of clinicians. This is an exceptional opportunity for a process-oriented, self-starter who is interested in leading a cross-functional team at a young, rapidly scaling organization. 

The optimal candidate has a strong ability to set direction, align resources and deliver results by working through others. If you like building solutions to advance company performance, and are excited about joining an organization that will drive significant change in the healthcare industry, we want to hear from you!

Lead the Credentialing & Licensing function, which includes:

  • Seamless and organized management of provider credentialing and licensing processes 
  • Identify gaps in the overall structure/process and proactively implement solutions to improve efficiency and provider experience 
  • Manage key relationships with Cityblock Market and Clinical leaders, Compliance, HR and health plan partners
  • Define the vendor strategy and serve as business owner of the relationship
  • Oversee day-day management and work allocation across Credentialing Sr Associates and Licensing Coordinators 
  • Enable new market growth as Cityblock scales nationally by leading successful implementations
  • Other functions as defined.

Requirements for the Role: 

  • 5+ years of management experience with demonstrated results as the leader of Credentialing & Licensing or related health plan operations functions.
  • 3+ years of experience in Medicare, ACA, Marketplace lines of business 
  • You will have 5+ years of experience in Excel and data reporting tools.
  • You have experience with to value-based care models and the national payer and risk-bearing provider landscape
  • Proven ability to develop roadmaps and project plans to identity, implement & track projects & quality improvement initiatives 
  • You are a strong people manager that can appropriately balance effective delivery on goals as well as strong professional development for direct reports and their teams  
  • You are aligned to the Cityblock mission and dedicated to building a diverse, equitable, and inclusive team

How We Define Success: 

  • Achieve Credentialing & Licensing SLAs for new and existing providers across markets
  • Scalable structure in place for timely licensing and credentialing processing, communications, and tracking mechanism to position Cityblock for delegated credentialing over time
  • Strong, trusting relationships built with internal team members, cross-functional stakeholders, and health plan partner counterparts
  • Identification of necessary external systems required for comprehensive credentialing function

Nice to Have, But Not Required:

  • Licensed Notary Public 
  • Experience with Google Suite 
  • Prior experience working in a start-up setting 
  • Strong knowledge of NCQA credentialing requirements and certified programs

What We’d Like From You:

  • A resume and/or LinkedIn profile 
  • A short cover letter, please!


Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

#communityhealth #healthcare

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Location

New York, NY 11201

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