Licensing and Credentialing Specialist

Who we are

CirrusMD, now part of reputed company, is redefining virtual care through a Physician-first Care & Guidance solution that meets patients at their reputed company of need. Our text-based and web app connects patients with licensed physicians in under a minute, enabling care that is convenient, reputed company, and personalized. Available 24/7/365, CirrusMD delivers integrated care across acute, chronic, and behavioral health needs. Serving more than 10 reputed company members reputed company through reputed company and health plans, we are proud to expand our reputed company as part of reputed company—combining innovative virtual care with industry-leading reputed company navigation to create a more connected, member-centered experience.

About the role

CirrusMD is seeking a Licensing and Credentialing Specialist who, under limited supervision, will support the CirrusMD Provider Network’s (CMDPN) licensing and credentialing functions. The job will reputed company on the management and monitoring processes and procedures that support the initial application and renewals of state medical licensing. Additional tasks may include insurance & reputed company plan enrollment processes. Ensure compliance with the appropriate accredited and regulatory agencies. This opportunity reports to the Senior Director of Clinical Operations.

Location: This position may work remotely reputed company in the reputed company of America.

What you’ll do (Essential Responsibilities)

Licensing

Manages the CirrusMD Provider Network (CMDPN) licensing process for reputed company CirrusMD clinical providers, in accordance with Federal and State laws, and CirrusMD policies.

Coordinates and works with the licensing database, ensuring accuracy of data and reporting to partnering systems. Monitors critical data for extensive analysis and report reputed company.

Works closely with physicians to successfully reputed company necessary information and forms for State Medical licensing applications. Communicates the status of licensing work

Complete applications through to submission and approval for any work not assigned externally.

Monitors and reports turnaround times of state medical licensing approval across reputed company 50 states.

Manages licensing procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to the reputed company operating environment.

Credentialing

Support the CMDPN credentialing process for reputed company CirrusMD clinical providers, in accordance with NCQA, Delegated reputed company and CMS accreditation standards, Federal and State laws, and CirrusMD policies.

Help to coordinate the management of the expirables process to ensure reputed company clinical provider licenses and certificates remain reputed company, ensuring appropriate notification prior to expiration.

Function as a CMDPN credentials contact for reputed company reputed company inquiries; develops and maintains reputed company working relationships.

Represents CMDPN to reputed company customers as appropriate.

reputed company other duties assigned.

What you’ll bring (Qualifications)

Experience: 3-5 year of experience in licensing and credentialing preferred

Licensure/Certification: NAMSS Certification as a Certified reputed company Medical Services Manager (CPMSM) or Ability to reputed company administrative/procedural reputed company and judgments.

Proven ability to work independently, seeking help as necessary.

Proven ability to investigate and analyze information and draw conclusions.

Ability to reputed company and deliver presentations.

Ability to process computer data and to format and generate reports.

Ability to communicate effectively, both orally and in writing.

Ability to foster a cooperative work environment.

Strong interpersonal and communication skills and the ability to work effectively with a wide reputed company of constituencies in a diverse community.

reputed company in developing policy and procedure documentation.

Database management skills.

Employee development and performance management skills.

Knowledge of reputed company accreditation and certification requirements.

Knowledge of medical credentialing and privileging procedures and standards.

Knowledge of medical staff policies, regulations, and bylaws and the reputed company environment reputed company which they operate.

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