Manager, Credentialing & Medical Staff Services
This is a Fully Remote Job About Our Client: The organization operates in the healthcare sector, focusing on transforming care from reactive treatment to proactive health management. It has developed an award-winning whole body MRI scan technology that is fast, safe, and non-invasive. By integrating optimized hardware, software, and AI across domestic and global clinics, the organization aims to improve early detection and patient outcomes. About the Opportunity: The MANAGER, CREDENTIALING & MEDICAL STAFF SERVICES is responsible for building and leading a centralized multi-state credentialing and licensure function. This role ensures compliance and readiness for over 200 healthcare professionals, stabilizes critical workflows, modernizes systems, and shapes the support model and team needed as the medical group expands. Responsibilities: Manage primary source verification, credentialing, licensure, re-credentialing, and license renewals for healthcare professionals. Define and maintain licensure requirements in partnership with legal and clinical leadership. Maintain an accurate and authoritative healthcare professional roster and credentialing records. Proactively manage license renewals and monitor adverse-status changes. Establish deadlines, controls, and escalation processes to prevent lapses and maintain audit readiness. Coordinate compliance requirements including training, certifications, background checks, and continuing medical education. Support audits ensuring records are accurate and accessible. Administer FPPE and OPPE workflows, tracking completion and maintaining audit-ready records. Lead onboarding and offboarding lifecycle for healthcare professionals. Coordinate credentialing, documentation, system access, training, and other readiness activities. Establish onboarding checklists, remove bottlenecks, and escalate incomplete requirements. Develop and maintain authoritative data sources for credentialing and professional readiness. Define data management, reconciliation, quality controls, reporting, and accountability. Design standardized workflows using credentialing platforms and internal systems. Apply automation and AI tools to improve operational efficiency and visibility. Measure operating metrics and implement scalable solutions to recurring issues. Serve as point of contact for clinician administrative needs, maintaining service catalogs and escalation pathways. Manage healthcare professional reimbursement workflows. Resolve administrative issues with cross-functional partners. Standardize and automate recurring requests to enhance clinician support. Collaborate with senior leaders to set priorities and operating standards. Set submission deadlines and service levels for healthcare professionals and partners. Escalate risks related to licenses, applications, and organizational dependencies. Support expansion into new states and markets by ensuring operational readiness. Help define future staffing, technology roadmap, vendor strategy, and organizational structure. Manage staff, contractors, and vendors by setting roles, priorities, and performance expectations. Requirements: Experience managing credentialing, licensing, and compliance for healthcare professionals across multiple states. Knowledge of licensure requirements and credentialing processes for physicians, nurses, technologists, and other professionals. Ability to develop and maintain operational workflows and compliance controls. Experience with credentialing platforms and internal data management systems. Skills in automation, AI tools, and process improvement. Strong leadership and cross-functional collaboration skills. Must be legally authorized to work in the United States without employer sponsorship. Pay Range and Compensation Package: The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note: TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.