Senior Licensing and Credentialing Specialist
About Eden Health
Eden Health provides simple, tech-enabled primary care sold directly to employers. Our users enjoy immediate access to care over the Eden Health app, in our private clinics, and directly in their offices. We have transformed healthcare from an unpleasant necessity to a delightful experience focused on improving the lives of patients. The proof is in the outcomes: when companies work with us they have healthier workforces, increased productivity, and reduced healthcare costs.
What you will be doing
As Eden Health’s Sr Licensing and Credentialing Specialist, you will be responsible for leading all aspects of licensing and credentialing for our clinicians according to state compliance and insurance standards. This role is a critical part of Eden’s Operations and essential to our ability to onboard clinicians, as well as our ability to expand our services to new geographical service areas.
As the Sr Licensing and Credentialing Specialist, you will report directly to the VP, Operations Development. You will lead our small-but-mighty licensing and credentialing team as well as our licensing vendor. This is a remote-first role and has the flexibility to be located anywhere in the U.S.
What success looks like
- Contributing to Provider onboarding in the form licensing training with newly hired providers and ensuring the proper applications are initiated during the hiring process
- Researching and tracking state licensing requirements for all 50 states
- Completing new license applications and maintaining a visible tracker for the organization
- Tracking & completing license renewal and CME requirements
- Ensuring provider demographic data is kept up to date with licensing entities
- Managing Eden’s licensing and credentialing vendors
- Collaborating with clinical team leads on licensing and credentialing strategy
- Completing payor enrollment applications and CIN applications for individual providers or the group
- Maintaining up-to-date network status for providers at Eden
- Updating provider/group demographics
- Create/update providers’ CAQH ProView profile
What you will bring
- At least 5 years of experience, preferably in licensing and credentialing for a provider organization
- 3-5 years of management experience preferred
- You are a self-starter
- You are highly detail oriented
- You love digging into state compliance and insurance applications!
- You like to organize processes and improve on workflows that already exist because there’s always an opportunity for efficiency
- You have experience working with clinical providers
Why Eden Health?
- Fast-growing startup backed by leading venture capital firms Greycroft, Flare Capital, 645 Ventures, PJC and others
- Exciting product in one of the largest and fastest growing markets in the country
- Mission-driven culture passionate about improving access to healthcare for employees and their families
- Competitive salary and equity compensation package
- Great benefits including medical, dental, vision insurance, and commuter benefits
- Generous PTO, healthy snacks, and regular happy hours
- Awesome team with a great comraderie - we work hard and have lots of fun!
Eden Health is an equal opportunity employer and encourages all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Please note: Eden Health interview requests and job offers only originate from edenhealth.com email addresses (e.g. [email protected]). Eden Health will never ask for bank information (e.g. account and routing number), social security numbers, passwords, or other sensitive information to be delivered via email. If you receive a scam email or wish to report a security issue involving Eden Health, please notify us at: security@edenhealth.com.