Credentialing and Licensing Specialist

Namely; New York (NY); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Hybrid work schedule

Stock options (if applicable)

Paid parental leave

401k benefit

Commuter Benefits

Health insurance

Job summary

K Health is seeking a Credentialing and Licensing Associate in New York. You will manage end-to-end credentialing, licensing, and privileging for healthcare clinicians across our medical network, coordinating with partner clinics, hospitals, and payers.

You will ensure accurate provider data, communicate with providers to obtain missing information, and submit applications while tracking progress across systems. This role requires meticulous attention to detail and strong organizational skills.

Qualifications

• Familiar with COIs, peer references, privileges, payer enrollment, and CAQH/FCVS profiles.
• Understanding of MD/DO vs NP/PA credentialing requirements.
• Strong attention to detail with ability to manage multiple providers across stages.
• Excellent written and verbal communication with internal teams and providers.
• Strong organizational and time-management skills in deadline-driven environments.
• Proficiency with credentialing software (e.g., CredentialStream) and data tracking tools.

Responsibilities

• Collect, verify, and organize all credentialing documentation (licenses, malpractice certificates, board certs).
• Enter and maintain provider data across credentialing platforms and internal reports.
• Communicate with providers to clarify information and request missing items.
• Prepare and send DocuSign packets and credentialing forms to providers.
• Coordinate submission of clinic-specific forms and privilege forms for partners.
• Submit and track credentialing applications for partner clinics and hospital systems.
• Work with licensing specialists to ensure state licenses are in progress before submission.
• Request malpractice history reports from providers or carriers.
• Proactively track credentialing barriers and update stakeholders.

Skills

Credentialing terminology

MD/DO vs NP/PA credentialing

Attention to detail

Written & verbal communication

Organization & time management

CredentialStream

Excel

Google Sheets

Tools

CredentialStream

Excel

Google Sheets

Job description

Job Summary:

The Credentialing and Licensing Associate is responsible for managing the end-to-end credentialing lifecycle for healthcare clinicians across our medical network. This role ensures providers are accurately and efficiently credentialed, licensed, and privileged in accordance with partner clinic, hospital system, and payer requirements. The ideal candidate is highly organized, detail-oriented, and comfortable managing multiple providers and partnerships simultaneously across varying stages of the credentialing process, while communicating clearly with both internal teams and external providers.

Key Responsibilities:

Documentation & Data Management

• Collect, verify, and organize all required credentialing documentation, including licenses, malpractice certificates, board certifications, and other required credentials.
• Enter and maintain accurate provider data across credentialing platforms (including CredentialStream) and internal tracking reports.

Provider Communication & Coordination

• Communicate directly with healthcare providers to clarify outstanding questions and request missing or incomplete information.
• Prepare and send DocuSign packets, credentialing checklists, and required forms to providers.
• Coordinate the collection and submission of clinic-specific forms, privilege forms, and required attachments unique to each partner.

Application Submission & Tracking

• Submit and track provider credentialing applications on behalf of partner clinics, including hospital systems.
• Collaborate with licensing specialists to confirm all required state licenses are actively in progress prior to submitting provider applications to partner clinics for credentialing.
• Request and collect malpractice claims history reports from providers and/or their prior insurance carriers on behalf of partner clinics.
• Track and proactively communicate credentialing barriers to relevant internal and external stakeholders to avoid delays.

Required Skills and Qualifications:

• Familiarity with credentialing terminology, including COIs (Conflicts of Interest), peer references, privileges, payer enrollment, primary source verification, and CAQH/FCVS profiles.
• Understanding of the differences between MD/DO and mid-level provider (NP/PA) credentialing requirements.
• Strong attention to detail with the demonstrated ability to manage multiple providers simultaneously across various stages of the credentialing process.
• Excellent written and verbal communication skills, with the ability to professionally liaise between providers, internal teams, and partner organizations.
• Strong organizational and time-management skills; comfortable working in a deadline-driven environment.
• Proficiency with credentialing software/platforms (e.g., CredentialStream) and general comfort with data tracking tools (Excel, Google Sheets, etc.).

Preferred Qualifications:

• 2+ years of credentialing experience, ideally within telehealth or multistate credentialing environments.
• Experience working with hospital systems and health system partners on provider onboarding.
• Familiarity with DocuSign or similar e-signature/document workflow platforms.

What Success Looks like:

• Providers move efficiently through the credentialing pipeline with minimal delays.
• Credentialing barriers are identified early and communicated proactively.
• Provider and credentialing data remains accurate and up to date across all systems.
• Strong, professional relationships are maintained with providers and partner clinic contacts throughout the credentialing process.

Benefits & Perks:

• Hybrid work schedule with weekly lunches and stocked fridges
• Monthly social committees for company events
• 18 vacation days, 9 company holidays, 5 sick days, and 2 personal days
• Stock options for every full-time employee
• Paid parental leave
• 401k benefit
• Commuter Benefits
• Competitive health, dental, and vision insurance options

Compensation:

$65,000 - $75,000 USD

Who We Are:

Behind every leading health system is K Health’s AI-powered virtual care engine.

Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf.

Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability.

We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors including Valor Equity Partners, Claure Group, Mangrove Capital Partners, 14W, Notable Capital, Lerer Hippeau, Primary Venture Partners, Comcast Ventures, PICO Venture Partners, Max Ventures, and other strategic healthcare partners.

We offer competitive compensation packages based on industry benchmarks for function, level, and geographic location. Offer amounts are determined by multiple factors such as a candidate's experience and expertise.

We are proud to be an Equal Opportunity Employer and consider applicants for employment regardless of race, ethnicity, religion, color, national origin, ancestry, disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, sexual orientation, pregnancy, childbirth and breastfeeding, age, citizenship, military or veteran status, or any other class protected by applicable federal, state, and local laws. We’re deeply committed to building teams as diverse as the patients we serve and strive to cultivate an environment where everyone can bring their most authentic self to work. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our users.