Director, Credentialing - NYC
Eden Health , United States

1 Year
0 - 0
Job Type
Job Shift
Job Category
Requires Traveling
Career Level
As mentioned in job details
Total Vacancies
1 Job
Posted on
Jan 10, 2022
Last Date
Apr 10, 2022

Job Description

About Eden HealthEden Health is a nationally recognized medical practice on a mission to create a world where every person has a relationship with a trusted healthcare provider. Working with employers across the country, Eden Health offers employees 24/7 digital care, same-day in-person primary care, mental health services, physical therapy, and benefits navigation. The Eden Health team is driven by a patient-centric approach, delivering relationship-based collaborative care. With this model, our clients have healthier workforces, increased productivity, and reduced healthcare costs. We are committed to diversity, equity, and integrity, and our teams reflect this. Our hope at Eden Health is to create an environment where each person can do the best and most important work in their careers.
What you will be doing:As Eden Health’s Director of Credentialing, you will be responsible for leading all administrative operations that set us up for success to see patients virtually and in our clinics- including but not limited to: all aspects of licensing and credentialing for our clinicians according to state compliance and insurance standards, CLIA and business certification, supervisory agreement strategy and general certification maintenance. This role is a critical part of Eden’s Operations and essential to our ability to onboard clinicians and see patients, as well as our ability to expand our services to new geographical service areas. You will manage a small but mighty team as well any necessary vendor relationships to get the job done.As the Director of Credentialing you will report directly to the VP of Primary Care Delivery.This is a hybrid, remote-first role with the flexibility to work from home four days a week-there is one committed day in our corporate office in NYCWhat success looks like:
  • Structuring of the function in a way will enable us to scale-- including hiring, managing and developing your org
  • Decreasing time to licensure and enrollment by building standard work and improving processes
  • Designing and improving the administrative aspects of provider onboarding to ensure the proper applications are initiated during the hiring process and providers have an outstanding experience
  • Researching and tracking state licensing and supervisory requirements for all 50 states for all clinical roles (MD, DO, NP, PA, Medical Assistant, Phleb, Physical Therapists and Social Workers)
  • Overseeing the completion of: all new license applications as well as tracking amp; completing license renewal, payor enrollment applications, CIN applications for individual providers or the group, CLIA and business certifications, TIN and set up, Medicare number acquisition, Provider CAQH ProView profile
  • Tracking: CME requirements,Supervisory agreements and regulations, Licensure renewal and status, Network status for providers
  • Managing Eden’s licensing and credentialing vendors as well as vendor strategy- in partnership with legal and finance you’ll determine when to build and when to buy
  • Being a thought partner and collaborator with clinical team leads on licensing and credentialing strategy
What you will bring:
  • At least 5 years of experience, in licensing and credentialing for a provider organization
  • 3-5 years of management experience
  • Expertise in growing and scaling operations
  • Familiarity with multi-mode communications and coms/rollout process development
  • Strong track record of exceeding measurable goals successfully in spite of obstacles
  • Excellent communication and presentation skills, including experience communicating insights through data with senior-level executives
  • You are a highly detail oriented self-starter
  • You love digging into state compliance and geek out on a beautiful spreadsheet
  • 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?
  • Remote first company and culture
  • Series C Healthtech startup with a mission-driven team that's passionate about helping every person have a relationship with a trusted healthcare provider
  • Competitive salary and equity compensation package
  • Medical, dental, and vision insurance and commuter benefits
  • Dedicated Culture Committee led by CEO
  • Learning and development budgets to help you grow and bond with your team
  • Positive, inclusive, supportive culture cheering you on your journey
  • Strong and quickly growing client base of America’s leading employers
While the majority of Eden Health positions are remote-first, we are a company that values building trusted relationships. To achieve this we have programming and events which require us to be in person, including team and company-wide meetings. To ensure everyone's safety, we require all employees to be fully vaccinated against COVID -19, subject to reasonable accommodations for medical conditions or sincerely held religious beliefs. If you have additional questions, your Talent Partner will be able to answer them.
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 fromedenhealth.comemail 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:[email protected]

Job Specification

Eden Health

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