Credentialing & Medical Staff Ops Manager

Prenuvo

United States

Remote

USD 110,000 - 125,000

Full time

14 days+

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Job summary

Prenuvo is seeking a Manager, Credentialing & Medical Staff Services to build and lead a centralized credentialing function spanning multi-state credentialing and licensure, clinician onboarding, compliance, FPPE/OPPE administration, and related medical staff services. This visible, high-impact role combines hands-on operational ownership with function building.

The successful candidate will stabilize critical workflows, modernize systems, and shape the service model and team needed to support

Qualifications

Five or more years of progressively responsible experience in healthcare professional credentialing, multi-state licensure, medical staff services, or medical group operations.
Direct experience with primary source verification, license renewals, compliance monitoring, audit-ready recordkeeping, and healthcare professional onboarding.
Demonstrated success building or improving credentialing systems, workflows, operational reporting, and source-of-truth records.
Experience operating in a complex, multi-state healthcare environment.
Ability to establish deadlines, influence healthcare professionals and cross-functional leaders, and escalation risks constructively.
Strong project management, analytical, communication, and operational problem-solving skills.
Ability to move between detailed workflow execution and higher-level program design.
Experience administering FPPE, OPPE, or comparable medical staff professional-practice evaluation processes, including tracking, documentation, reporting, and escalation.

Responsibilities

Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for in-scope physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across required states.
Partner with Legal and Clinical Leadership to define and maintain role- and state-specific licensure requirements, then translate approved requirements into documented workflows, controls, tracking, and escalation processes.
Maintain an accurate, authoritative healthcare professional roster and credentialing record, including documentation, application status, expiration dates, restrictions, and at-risk items.
Proactively manage renewals and conduct or coordinate monitoring of licensing-board status, sanctions, exclusions, and other adverse-status changes, as applicable.
Establish advance deadlines, controls, and escalation pathways that prevent avoidable lapses and maintain audit readiness.
Coordinate required training, attestations, certifications, continuing medical education requirements, background checks, fingerprinting, and other applicable compliance requirements.
Support internal and external audits and ensure required records remain accurate, complete, and accessible.
Administer FPPE and OPPE workflows by maintaining clinician-specific review schedules, sending advance reminders, tracking completion, escalating overdue items, and maintaining audit-ready records. Clinical leaders retain responsibility for evaluation content and decisions.