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.
Ensure pharmacy maintains compliant licenses at federal, state, and local levels.
Manage preparation, submission, and renewal of pharmacy licenses.
Stay abreast of pharmacy regulations, laws, and policies to ensure compliance.
Strive Pharmacy offers personalized pharmaceutical solutions through compounding, addressing limitations of the one-size-fits-all approach. They're dedicated to providing better experiences for customers and clinics, striving to disrupt healthcare with a focus on personalized care and a proactive approach to health.
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.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Own the development and maintenance of standardized role-specific resources
Deliver engaging and inspiring training, both virtually and in person
Act as a key resource for new hires throughout the onboarding process
WelbeHealth serves vulnerable seniors with quality and compassion using the Program of All-Inclusive Care for the Elderly (PACE). The company seems to value its employees and offers work/life balance.
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.
Own the end-to-end cycle of credentialing applications for new and existing providers under our contracts, ensuring all requirements are met for successful enrollment.
Assist in building NCQA compliant ongoing monitoring and delegation programs for the Nourish network of RDs.
Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows.
Nourish is on a mission to improve people’s health by making it easy to eat well. They are building an AI-native, patient-friendly healthcare system centered on nutrition that improves outcomes, lowers costs, and helps people live healthier, longer lives. Nourish launched three years ago, are live in all 50 states, and already have thousands of dietitians and hundreds of thousands of patients on the platform.
Oversee provider credentialing, provider licensing, payer contracting, and network expansion.
Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs.
Manage relationships with credentialing and contracting vendors.
Sunrise Group is building the future of sleep health by combining innovative technology with expert care. They are a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon’s Alexa Fund, Eurazeo, Kurma, and VIVES.
Review clinical documentation for accuracy and compliance.
Identify errors and coordinate corrections with clinical staff.
Support education for nurses and caregivers on documentation standards.
Abby Care tackles the challenge of family caregiving by training and employing family caregivers to get paid for the care they already provide at home. They are building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.
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.
Develop, maintain, and execute complex inpatient coding audit processes.
Design and deliver clinical coding education and training programs.
Partner with staff to resolve audit findings and improve coding accuracy.
CRD Careers is a boutique recruitment agency specializing in Sales and HR placements. We connect growth-minded companies with high-impact professionals who drive real results. This company's approach is precise, people-first, and built for long-term success.