Licensing and Compliance Specialist

Upperline Health Inc; Nashville (TN); Remote; USD 60,000 - 90,000; Full time

Job summary

An innovative healthcare provider is seeking a dedicated Licensing & Compliance Specialist to ensure seamless operations across multiple states. This role is vital for maintaining compliance and managing professional licenses for a diverse healthcare team. The ideal candidate will possess strong organizational skills, a proactive approach to problem-solving, and the ability to navigate complex regulatory landscapes. Join a forward-thinking organization that values patient-centered care and offers comprehensive benefits, including medical, dental, and a 401K plan. If you are self-motivated and thrive in a dynamic environment, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K Matching

Paid Time Off

Parental Leave

Qualifications

• 3+ years of experience in healthcare licensing and credentialing.
• Strong knowledge of state Board of Nursing & Medical Board regulations.

Responsibilities

• Manage state licensing applications and renewals for healthcare providers.
• Develop and maintain tracking systems for compliance deadlines.
• Proactively identify potential compliance issues and implement solutions.

Skills

Healthcare Licensing

Credentialing

Regulatory Compliance

Organizational Skills

Analytical Skills

Problem-Solving

Communication Skills

Education

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Business Administration

Tools

Excel

Healthcare Technology Platforms

Job description

A Specialty Path to Good Health
Upperline Health is the nation’s largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.

Triage is temporary.
Treatment is transformative.

When patients see their specialists at Upperline, they are provided access to a comprehensive care team that ensures patients receive the care they need. Our providers coordinate patients’ care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs. Upperline Health is based out of Nashville, TN and has clinics in Alabama, California, Florida, Georgia, Indiana, Kentucky, and Tennessee. Our team also cares for patients in Arkansas, Connecticut, Delaware, Maryland, Michigan, Minnesota, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, and Virginia.

We put patients at the center of value-based care.

This is a remote position for applicants who currently reside in the following states: AL, AZ, FL, GA, IL, IN, KY, MI, SC, NV, PA, TN, TX.

About the Licensing & Compliance Specialist
Upperline Health is seeking a Licensing & Compliance Specialist to manage the complete lifecycle of professional licenses, provider credentialing, and regulatory compliance for nurse practitioners & care team across multiple states. This role ensures seamless operations by maintaining current licenses, managing collaborating physician relationships, and implementing EMR systems in accordance with state regulations. Success in this role requires a proactive approach to maintaining compliance across multiple states and provider types, strong organizational skills, and the ability to think critically about the implications of various state requirements on healthcare practice.
Most importantly, candidates must be self-motivated with the ability to work independently, prioritize effectively, and think strategically with the ability to anticipate and plan for state-specific requirements.

What you'll do:

• Create and manage a scalable compliance program for multi-state medical practice by an interdisciplinary team
• Manage and track state licensing applications and renewals for various healthcare providers including Nurse Practitioners, Social Workers, Clinical Pharmacists, Registered Dieticians, and Registered Nurses
• Manage response to all state board communication including any audits, change in scope, or rules
• Develop and maintain tracking systems for license renewals, expirations, and compliance deadlines
• Research and maintain comprehensive knowledge of state-specific requirements and regulations for healthcare provider practice with legal partners
• Coordinate required compliance activities for contracted physicians, including collaborative physician agreements, scheduling and coordinating required meetings, and ensuring chart reviews are conducted in EMR
• Manage program to enable necessary diagnostic testing and laboratory procedures
• Coordinate credentialing process across multi-state practice for all interdisciplinary roles
• Create and maintain detailed documentation of state-specific requirements and processes
• Work cross functionally to ensure all necessary stakeholders are kept informed
• Proactively identify potential compliance issues and implement solutions

Experience and Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or related field
• 3+ years of experience in healthcare licensing and credentialing
• Strong knowledge of state Board of Nursing & Medical Board practice acts and healthcare regulations
• Excellent organizational skills with proven ability to manage multiple priorities
• Ability to build and maintain professional relationships with internal and external stakeholdersStrong cross-functional communication skills
  Adaptability to changing regulatory requirements and organizational needs
• Demonstrated experience with excel and healthcare technology platforms
• Strong analytical and problem-solving skills
• Exceptional attention to detail and accuracy

Benefits
Comprehensive benefit options include medical, dental and vision, 401K (matching), PTO and parental leave.

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience

Job Type: Full-time

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.