Manager, Licensing and Credentialing at Cityblock Health

Job Description:

About the Role: 

You will manage the Credentialing & Licensing function for our clinicians (ex. MD, NP, PA, LCSW/other BH roles, PharmD) at Cityblock Health as we scale. You will manage a small group of Senior Associates. You’ll work closely with our Clinical Markets, New Markets & Implementation, Legal, People Ops, and Compliance teams to support best-in-class credentialing & licensing functions at Cityblock.

The Manager of Licensing and Credentialing oversees the licensing, certification, and credentialing processes for professionals within the organization (such as healthcare providers, insurance agents, legal professionals, etc.). This role ensures that all required licenses and credentials are up-to-date, accurately maintained, and compliant with regulatory and company standards. The manager leads a team responsible for the efficient processing and tracking of credentials and works closely with external and internal partners to manage renewals, audits, and compliance.

Responsibilities

• Manage the entire process of licensing, certification, and credentialing for all applicable staff.

• Ensure compliance with state, federal, and industry regulations.

• Coordinate the submission of applications, renewals, and any necessary documentation for new and current employees.

• Maintain a thorough understanding of all applicable licensing and credentialing requirements and ensure policies are updated accordingly.

• Manage the vendor relationships Cityblock engages in for licensing & credentialing 

• Proactively identify opportunities for process improvement and efficiency on the team 

• Supervise the licensing and credentialing team, providing leadership, training, and support to ensure tasks are completed accurately and efficiently.

• Monitor team performance, set goals, and facilitate professional development.

• Ensure that all credentials are documented, maintained, and updated in a timely manner in the company’s databases or credentialing software.

• Lead audits and maintain organized records of all licensing and credentialing information.

• Address and resolve any compliance or credentialing issues that may arise.

• Communicate effectively with internal teams (HR, legal, department heads) to ensure proper licensing and credentialing for all staff.

• Serve as the primary point of contact with licensing boards, regulatory bodies, and credentialing agencies.

• Provide regular status updates to senior management on credentialing issues, potential risks, and key performance indicators.

• Monitor changes in state, federal, and professional licensing and credentialing regulations.

• Ensure timely renewals and resolve any regulatory issues impacting employee licenses or credentials.

• Other functions as assigned.

Required Skills & Competencies

• Strong understanding of credentialing and licensing processes.

• Exceptional organizational and time-management skills.

• Ability to lead and mentor a team effectively.

• Excellent communication and interpersonal skills.

• Analytical thinking and attention to detail.

• Ability to work under pressure and manage multiple priorities.

• Knowledge of compliance and regulatory standards in the relevant industry.

• Experience leading a credentialing team, department or related field

• Previous experience working in a  fast-paced, high demand environment. 

• Strong ability to quickly build relationships and trust with our clinical team. You are a natural relationship-builder and possess the ability to engage and connect with your team quickly

Requirements for the Role: 

• 3-5 years of experience in licensing, credentialing, compliance, or a related field.

• At least 2 years of supervisory or management experience.

• Experience working with credentialing databases and compliance software.

• Familiarity with industry-specific regulations, such as healthcare or insurance licensing (depending on the industry).

• Bachelor’s degree required

• Certification in healthcare credentialing (CPCS or CPMSM) or similar industry-specific certification.

• Experience with audits, compliance programs, or quality assurance processes.

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: 

$98,000 to $139,000

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.

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.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

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