Manage all aspects of provider licensing, credentialing, and payer enrollment.
Coordinate end-to-end licensing workflows and maintain accurate records.
Act as a key liaison between clinicians, state boards, payers, and internal stakeholders.
They are committed to providing safe, discreet medication abortion treatment and offer a range of reproductive and sexual health care services. The in-house clinical care team composed of board-certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away.
Lead and oversee a team on execution of all aspects of regulatory and client audits.
Interface with external clients and regulatory bodies to address inquiries.
Coordinate across teams to document and ensure timely completion of corrective actions.
We are currently looking for a Compliance Manager - REMOTE. As part of the Audit and Corrections team, the Compliance Manager will oversee audit engagements and corrective actions while driving a culture of compliance throughout the organization.
Establish and maintain licensing processes for Physicians, Nurses, and Licensed Mental Health providers.
Monitor progress and approval of submitted licenses ensuring timely completion.
Serve as the primary point of contact for all matters related to licensing.
TimelyCare provides virtual medical and mental health support. They foster a supportive team culture with a mission-driven purpose and are an equal opportunity employer.
Own the end-to-end cycle of licensing applications for new and existing providers across the U.S., ensuring all requirements are met for licenses to be approved.
Support efforts to streamline existing licensing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows.
Develop SOPs (detailed guides) for new state or provider licensing, and own the implementation across the team.
Nourish aims to improve people’s health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world, and they are building an AI-native, patient-friendly healthcare system centered on nutrition. They are live in all 50 states, and have thousands of dietitians and hundreds of thousands of patients on the platform.
Responsible for economic credentialing and provider enrollment with contracted managed care and governmental plans.
Communicating provider participation information to internal and external customers.
Ensures compliance with regulatory agencies and maintains a working knowledge of statues and laws.
The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer. They have more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues.
Ensure adherence to regulations and contractual obligations.
Develop and update compliance policies and SOPs.
Conduct internal compliance audits and report findings.
Equip is a virtual, evidence-based eating disorder treatment program. They aim to ensure that everyone with an eating disorder can access effective treatment, operating in all 50 states and partnered with most major health insurance plans. Since its founding in 2019, Equip has maintained a fully virtual environment.
Directly communicate with insurance companies to facilitate the approval of medications.
Navigate pharmacy operating systems to input data and prepare action plans for follow-up.
Communicate directly with patients over the phone to assist them in medication compliance.
Shields Health Solutions provides integrated pharmacy solutions. They partner with hospitals and health systems to improve patient outcomes and create financial value.
Advise on regulatory compliance matters across jurisdictions.
Support business units on pharmacy operations and supply chain issues.
Assist with responses to regulatory inquiries and complaints.
Hims & Hers is a health and wellness platform that aims to improve people's health through accessible care. They are a public company traded on the NYSE with a talent-first flexible/remote work approach.
Provide medication management for individuals, including reconciliation and adherence counseling.
Collaborate with the interdisciplinary care team to develop individualized care plans.
Monitor and evaluate medication regimens to ensure clinical criteria are met.
Shields Health Solutions provides integrated support to patients and physicians. They are focused on improving the quality of patient care through personalized relationships with patients and prescribers. They provide equal employment opportunities to all employees and applicants for employment, prohibiting discrimination and harassment of any type.
Implement action plans for approval of submissions.
Improve internal processes and foster relationships.
They are a company using AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Support the end-to-end screening & credentialing process for new and existing pharmacy partners.
Manage all administrative aspects of pharmacy credentialing and recredentialing processes from start to finish.
Offer crucial daily administrative and clerical assistance, alongside other delegated responsibilities.
SmithRx is a rapidly growing, venture-backed Health-Tech company. Their mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. They pride themselves for their mission-driven and collaborative culture that inspires their employees to do their best work.
Reviewing patient care notes for clinical data needed for approvals and care plan recommendations.
Monitoring patient adherence across all sites and disease categories.
Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines.
Shields Health Solutions provides integrated support to patients and physicians. They improve the quality of patient care by personalizing relationships with patients and prescribers to improve medication adherence and promote evidence-based care.