Manager, Credentialing & Medical Staff Services

OpenKrill; United States; Teletrabalho; USD 110 000 - 150 000; Tempo integral

Resumo da oferta

Prenuvo Medical Group seeks a Manager of Credentialing & Medical Staff Services to lead a centralized credentialing function across multiple states, licensing, onboarding, compliance, FPPE/OPPE, and related medical staff activities.

This high-impact role will stabilize workflows, modernize systems, and shape the service model to support 200+ clinicians as Prenuvo grows, with emphasis on audit readiness, data quality, and collaboration with Legal, Compliance, and Clinical leadership.

Qualificações

• Five+ years of progressive credentialing and multi-state licensure experience.
• Direct experience with primary source verification, license renewals, compliance monitoring, audit-ready records.
• Demonstrated success building or improving credentialing systems, workflows, and reporting.
• Experience operating in a complex, multi-state healthcare environment.

Responsabilidades

• Own end-to-end credentialing, licensure, and license renewal processes across multiple states.
• Lead onboarding and lifecycle management for healthcare professionals.
• Define data ownership, reporting standards, and system-wide FPPE/OPPE workflows.
• Support audits and maintain audit-ready credentialing records.
• Collaborate with Legal, Compliance, and Clinical Leadership to ensure regulatory readiness.

Conhecimentos

Credentialing

Multi-state licensure

Project management

Analytical skills

Ferramentas

Credentialing platforms

Data reporting tools

Descrição da oferta de emprego

About Us

At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again".

We are looking for a Manager, Credentialing & Medical Staff Services to build and lead a centralized 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 more than 200 healthcare professionals as Prenuvo Medical Group grows.

This role does not provide visa sponsorship. Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa (current or future).

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives!

What You'll Do

Credentialing, Licensing & Compliance

• 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.

Healthcare Professional Onboarding & Lifecycle

• Lead the operational onboarding and offboarding lifecycle for healthcare professionals within the role’s defined scope.


• Coordinate credentialing, licensing, required documentation, system access, training, and other readiness dependencies against accountable owners and target dates.


• Establish onboarding checklists and service levels, remove bottlenecks, and elevate incomplete requirements before they affect anticipated start dates or clinical operations.

Systems, Data & Operational Improvement

• Establish and maintain an authoritative source of truth for credentialing, healthcare professional readiness, and FPPE/OPPE status.


• Define data ownership, reconciliation processes, quality controls, reporting standards, and accountability across systems.


• Design standardized and trackable workflows using credentialing platforms and internal systems.


• Use company-approved automation and AI tools to reduce manual work, improve visibility, and increase operational reliability.


• Measure cycle time, backlog, accuracy, readiness, service performance, and other key operating metrics.


• Identify recurring failure points and implement scalable solutions rather than relying on repeated manual intervention.

Medical Staff Operations & Healthcare Professional Experience

• Serve as the centralized operational point of contact for defined clinician administrative needs and maintain a documented service catalog, intake process, response-time standards, and escalation pathways.


• Own and continuously improve healthcare professional reimbursement workflows, including continuing medical education, licensure, and other approved professional expenses.


• Resolve practice-related administrative issues in partnership with Clinical Leadership, Human Resources, Finance, Legal, Compliance, and Information Technology.


• Standardize, automate, delegate, or enable self-service for recurring requests to create a responsive and scalable clinician-support model.

Cross-Functional Leadership & Growth

• Partner closely with senior clinical and operational leaders to establish priorities, accountability, and operating standards.


• Set submission deadlines and service-level expectations for healthcare professionals and cross-functional partners whose actions affect readiness.


• Proactively escalated at-risk licenses, incomplete applications, healthcare professional non-responsiveness, and unresolved organizational dependencies.


• Support expansion into new states and markets by ensuring healthcare professionals are operationally ready to practice.


• Help define the future staffing model, technology roadmap, vendor strategy, and organizational structure for credentialing and medical staff operations.


• Manage assigned staff, contractors, and vendors by establishing clear roles, priorities, service levels, workload allocation, and performance expectations.

What You’ll Bring

• 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 elevate risk 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.

Nice to Have

• Experience in a high-growth healthcare, digital-health, telehealth, or multi-site medical group.


• Experience implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes.


• Experience managing credentialing staff, shared-service teams, contractors, or external vendors.


• Experience designing centralized medical staff operations or healthcare professional support functions.

Our Values

First: we are Pioneers

• Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding.

Second: we are Platform-Builders

• We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission.

Above all: we are Patie