Licensing and Credentialing Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

5+ years of experience in Credentialing and Licensing, Experience in clinic and Telehealth settings, Strong organizational skills and attention to detail, Proficient in Excel with basic spreadsheet functions..

Key responsibilities:

  • Manage the licensing process for clinical team members, including initial and renewal applications.
  • Oversee the credentialing process for enrollments with various payors, ensuring timely execution.
  • Communicate effectively with cross-functional teams to address challenges and improve workflows.
  • Negotiate with vendors to secure reduced costs and manage provider onboarding.

NuvoAir logo
NuvoAir Scaleup http://www.nuvoair.com
51 - 200 Employees
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Job description

Our Story 
Complex conditions like COPD and congestive heart failure (CHF) are incredibly challenging to manage. People who are already struggling with isolation and the burden of these conditions become increasingly frustrated and disengaged, eventually falling through the cracks and landing in the ER. This cycle perpetuates poor health outcomes and excessive medical costs.
At NuvoAir we believe people deserve a better healthcare experience.
Our team embraces the challenges that others can’t or won’t - by integrating our clinical team with technology, NuvoAir creates a highly empathetic and personalized experience for each patient. This model not only helps patients in their homes, it also supports patients through our clinical trial partners.

Living our Company Values
•  Patient obsessed: Every decision is made with our main focus in mind - improving the lives of patients
•  Act like an owner: Ownership means we speak up, share ideas, give feedback, and are all accountable for growth.
•  Focus on what matters: Creating meaningful solutions to challenging healthcare problems requires simplicity, clarity, and using our unique leverage
•  Build to learn: Failing courageously is a virtue that drives learning and stems from an innovative spirit
•  Practice confident humility: We aim to hold ourselves to the highest standards of humility, curiosity, transparency, and personal development

What you’ll be responsible for: 
Licensing:
Owns the proactive licensing process for all clinical team members - initial/renewal for medical, DEA, state controlled substance, etc.
Ensures licensure applications are submitted efficiently and in support of Commercial and Clinical team goals and deadlines
Proactively communicates when challenges arise & problem solves with the appropriate cross-functional teams
Manages Collaborating Physician agreements, including researching requirements for new states and updating legal documents
Build and manage provider onboarding, including CAQH, FCVS, etc.

Owns the process/workflows for enrollments with Medicare, Medicaid, Commercial, Medicare Advantage, and other third party payors/partners based on prioritization laid out by Manager
Successfully secures 85% of enrollments by deadlines required to execute on Growth initiatives/deals
Manages proactive process of credentialing providers, keeping organized system that prevents gaps and providers slipping through the cracks
Utilizes basic strategy to prevent "closed panel" notices (e.g. letters of intent, modification requests)
Executes process/workflow improvements relating to provider onboarding, licensing, enrollments, and more
Communicates effectively to all levels, setting boundaries, communicating concisely and what the audience needs to hear, and working towards being seen as a strategic advisor
Experience working in Excel; make a basic spreadsheet (SUM functions, etc.)
Manage vendor negotiations, including getting reduced cost

This may be a fit if you have:
5+ years of experience working in Credentialing and Licensing 
Experience working within clinic and Telehealth settings
Very strong organizational skills Very strong attention to detail
A customer-service mentality, and exceptional follow-up and follow-through 
The spirit and mindset for working in a fast-paced and evolving environment
You’ll love us because:
Mission driven culture that’s recognized by “Best Places to Work” awards
A global, diverse team that works hard without taking ourselves too seriously
Competitive salary - an annual market rate review ensures our compensation bands align with Series A market salaries
Flexible work environment
Unlimited PTO - take time to recharge when you need it
Equity that’s venture-backed by top, global VCs - when we win, we win together
Medical, Dental, and Vision benefits - so you can take care of yourself and your family
Retirement plan + company match
Annual Learning & Development stipend - your professional growth is important!

Building a diverse team is critical to our success:
At NuvoAir, building a diverse team isn't a lofty statement or goal, it's a necessity, and it's something we actively practice and talk about. We do not tolerate discrimination or harassment based on race, color, age, religion, sex, gender, disability status, sexual orientation, gender identity or expression, or any other basis covered by appropriate law. NuvoAir will provide reasonable accommodations for qualified individuals with documented disabilities.

What to expect from our interview process:
Our team’s impact is felt globally as we help patients with cardiopulmonary diseases better understand and manage their health. Every member of our team adds value as we work towards a better healthcare experience for all. Because of this, it’s not enough that we hire mission-oriented people who are self motivated. We also need to grow a team that aligns with our company values (listed above!) and who will be successful in startup life… it’s not for everyone and that’s okay! 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
  • Customer Service
  • Organizational Skills
  • Detail Oriented
  • Problem Solving

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