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US

  • Serve as subject matter expert for medical staff privileging, leading coordination and continuous improvement of processes to ensure regulatory compliance.
  • Lead development and maintenance of privilege delineation forms and criteria through research and interdisciplinary review.
  • Coordinate OPPE and FPPE programs, including metric development, data collection, and monitoring compliance with accreditation standards.

Credentialing Regulatory Compliance Project Coordination Data Management

20 jobs similar to Medical Staff Privileging/OPPE Coordinator/CUSA Support

Jobs ranked by similarity.

US

  • Responsible for credentialing and recredentialing practitioner applicants to ensure regulatory compliance.
  • Conducts primary source verifications, reviews applications, and communicates with healthcare practitioners to obtain missing information.
  • Maintains credentialing database, monitors provider expirables, and assists with audit reviews.

Curana Health provides value-based care solutions, including on-site primary care, Accountable Care Organizations, and Medicare Advantage plans, to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors across 1,500+ communities in 32 states, employing more than 1,000 clinicians and staff, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.

US

  • Lead and develop a credentialing team, overseeing provider credentialing, licensing, and privileging processes.
  • Manage operational workflows, conduct audits, and implement improvements to ensure compliance and efficiency.
  • Collaborate with internal leadership, providers, and external clients to resolve issues and maintain high service levels.

Jobgether is an AI-powered recruitment platform that connects candidates with job opportunities through objective matching. It offers a fully remote, collaborative work environment with a focus on employee development and belonging.

US

  • Review facility credentialing applications for accuracy and completeness based on applicable standards.
  • Communicate with facilities to resolve discrepancies and obtain missing information.
  • Manage data entry, monitor compliance, and prepare reports for the Credentialing Committee.

Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, the company serves 200,000+ seniors across 1,500+ communities in 32 states with a team of over 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list.

US Unlimited PTO 14w maternity 14w paternity

  • Support clinical process improvement initiatives and monitor performance to client SLAs.
  • Conduct root cause analyses and develop remediation plans for process variations.
  • Collaborate with product and analytics teams to optimize letters and template tracking.

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans and providers to optimize care quality and reduce costs. The company has been named to the Inc. 5000 list and ranked a Top 5 LinkedIn Startup, backed by leading investors, with a culture that values empathy and collaboration.

US Unlimited PTO

  • Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
  • Serve as subject matter expert for payer enrollments with health plans.
  • Coach and lead a team of specialists to achieve performance standards.

We are a comprehensive women's health provider specializing in expert, longitudinal care for women. Trusted by over 60,000 women, we are one of the fastest-growing women's health platforms in the U.S.

US

  • Verify healthcare providers' credentials, including licensure, education, training, and certifications.
  • Maintain accurate and up-to-date credentialing records for all healthcare professionals.
  • Ensure compliance with regulatory standards and accreditation requirements.

Allevio empowers healthcare practice owners by removing operational and administrative roadblocks to patient care. They are a team passionate about helping clinics thrive and offer tailored solutions for efficiency and growth.

US

  • Support all aspects of credentialing and state licensing for the Medical Team, including Nurse Practitioners and Registered Nurses.
  • Maintain accurate provider credentials, ensure ongoing compliance, and contribute to departmental goals.
  • Manage credentialing files, perform primary source verifications, and obtain new/renewed state licenses.

Meds.com is a rapidly growing consumer technology firm operating healthcare businesses like BlueChew & MOD, aiming to better patients' lives through innovative solutions. With a team of 350 professionals, they've built scalable pharmacy, telemedicine, and e-commerce platforms using cutting-edge technology.

$110,000–$140,000/yr
United States

  • Own the end-to-end credentialing and multi-state licensing process, including policies and procedures.
  • Oversee provider onboarding and offboarding, driving license and credentialing applications to completion.
  • Manage delegated credentialing programs and health plan audits, ensuring compliance with state and federal regulations.

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Founded by healthcare pioneer Dr. Tom X. Lee, they are a team of leading innovators from healthcare, technology, and human-centered design.

$130,000–$150,000/yr
US

  • Take operational problems from roughly defined to fully optimized, owning the design and implementation.
  • Design and document operating procedures, define metrics, and ensure data integrity.
  • Partner with product, train teams, and hand off sustained processes with clear ownership.

Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.

US

  • Drive the master project work plan for TJC Behavioral Health accreditation readiness, establishing clear milestones across clinical and operational teams.
  • Conduct gap analyses and risk mitigation, proactively updating the roadmap and implementing strategies to address compliance risks.
  • Organize internal mock audits and readiness drills, ensuring operational teams are fully prepared for survey execution.

Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of care and fosters a culture of innovation and impact.

$120,000–$140,000/yr
US

  • Own the multi-state licensing roadmap and execute applications and renewals for clinicians across MD, DO, NP, and RN pathways.
  • Manage payer credentialing strategy, including CAQH profiles, commercial payer applications, and Medicare enrollment via PECOS.
  • Support clinical operations compliance, including scope of practice, collaborative agreements, and prescriptive authority tracking.

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by a team of pioneers in oncology and value-based care.

US

  • You compile and maintain current and accurate data for dentists.
  • You complete credentialing and re-credentialing applications and monitor follow-ups.
  • You maintain copies of licenses, certifications, and other required documents.

We are a dental partnership organization dedicated to preserving the integrity of private practice. We currently serve patients in Oklahoma, Arkansas, Kansas, Missouri, and Nebraska and value team members who are motivated and detail-oriented.

US 4w PTO

  • Manage end-to-end credentialing and payer enrollment for behavioral health providers and facilities.
  • Serve as subject matter expert on credentialing requirements, ensuring timely and compliant files.
  • Coordinate with HR, Talent Acquisition, and leadership to facilitate provider onboarding and resolve issues.

We are a leading provider of immediate-access behavioral health crisis care. We are physician-led and data-driven, with over 15 years of crisis care expertise, recognized as a national best practice.

US

  • Provide support to the Medical Services Team to increase quality, safety, equity, and consistency of affiliate clinical care.
  • Participate in planning, designing, delivery, and evaluation of learning opportunities to enhance affiliate delivery of care.
  • Assist in supporting the PPFA National Medical Committee and Clinical Advisory Committee, including meetings and membership processes.

Planned Parenthood is the nation's leading provider and advocate of high-quality, affordable sexual and reproductive health care, and the largest provider of sex education. It is a 501(c)(3) charitable organization that supports independently incorporated affiliates operating non-profit health centers across the U.S., with a culture focused on belonging and learning.

US

  • Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
  • Own complex payer enrollment and credentialing programs end to end.
  • Build scalable workflows and use metrics to manage capacity and execution risk.

Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.

$63,773–$101,899/yr
US

  • Coordinate logistics for Oregon's perinatal substance use disorder program, including scheduling, travel arrangements, and reimbursements.
  • Provide quality improvement coaching and support to hospitals, clinics, and treatment programs using QI tools.
  • Support program evaluation, budget tracking, and reporting for funders and stakeholders.

OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for health care professionals. As Portland's largest employer, it offers opportunities to learn and advance across a system of hospitals and clinics in Oregon and Southwest Washington, with an inclusive and welcoming culture.

  • Oversee onboarding, coaching, and performance management of outpatient CDI staff to ensure high-quality deliverables.
  • Monitor work queues, staffing levels, and productivity metrics to meet client and organizational goals.
  • Lead recruitment efforts and collaborate with quality and operational teams to drive staff success.

UASI is a clinical documentation integrity consulting firm focused on improving healthcare documentation quality and accuracy. They have a dedicated team and emphasize employee growth and mission-driven work.

US 4w PTO

  • Lead integration of ambulatory surgery center construction projects from planning through operational launch.
  • Coordinate cross-functional teams and manage integrated master schedules, regulatory approvals, and risk mitigation.
  • Develop scalable integration frameworks and provide data-driven recommendations to senior leadership.

This company specializes in the integration of complex ambulatory surgery center construction and facility projects, coordinating clinical, construction, regulatory, and operational teams. The organization emphasizes a collaborative, patient-centered culture with a focus on continuous improvement and professional development.

US

  • Manage provider credentialing, recredentialing, and enrollment processes including application review and verification.
  • Maintain credentialing files, databases, and tracking systems for license renewals, certifications, and DEA registrations.
  • Apply for provider participation with insurance networks, Medicare, Medicaid, and other payer panels, monitoring application status.

Wellpath provides healthcare to underserved and vulnerable populations, including those in correctional facilities. With a large team and a people-first culture, they emphasize compassion, collaboration, and innovation in their mission to heal the world.

US

  • Initiate and manage compliance onboarding for healthcare contractors, including credentialing verification.
  • Collaborate with staffing agencies and internal stakeholders to meet compliance deadlines.
  • Monitor credential expirations and maintain accurate records in the Vendor Management System.

Trio Workforce Solutions helps healthcare organizations manage workforce challenges through technology and services. The company is a mission-driven organization with a collaborative culture and growth opportunities nationwide.