Provider Onboarding & Licensing Specialist

Toa; Knoxville (TN); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Toa seeking a Provider Onboarding & Licensing Specialist in Knoxville, TN to manage onboarding and licensing for physicians, APPs, and PT/OT providers.

The role ensures timely licensure, malpractice enrollment, CAQH verification, and CME compliance, maintaining accurate provider profiles and supporting renewals to keep providers ready to practice.

Qualifications

• Minimum 3–5 years of experience in provider onboarding, licensing, or credentialing.
• Experience with CAQH, DEA renewals, and state licensure processes required.
• Familiarity with CMD or similar credentialing database preferred.

Responsibilities

• Coordinate onboarding of new providers (physicians, mid-level providers, PT/OT staff).
• Assist providers with Tennessee state licensure applications and progress tracking.
• Initiate malpractice carrier enrollment to ensure coverage before practice start.
• Build and maintain provider profiles in the CMD credentialing database.
• Perform and document 90-day CAQH re-attestations to maintain payer and compliance requirements.
• Manage CME requirements and ensure CME compliance for licensing and DEA renewal.
• Provide reporting on license/DEA renewal timelines and CME completion status.
• Serve as primary resource for onboarding, licensing, and CME compliance for providers.

Skills

Licensure knowledge

CAQH

DEA renewals

CME compliance

Organizational skills

Communication skills

Microsoft Office

Credentialing systems

Education

High school diploma or equivalent

Associate's degree (preferred)

Bachelor's degree (preferred)

Job description

Provider Onboarding & Licensing Specialist

Job Category: Administrative

Requisition Number: PROVI001110

• Full-Time
• Hybrid

Locations

Showing 1 location

Knoxville, TN 37923, USA

Description

A position responsible for managing the initial onboarding and licensing functions for all new TOA providers, including physicians, advanced practice providers (APPs), and rehabilitation providers (PT/OT). This role ensures timely completion of licensure, malpractice enrollment, CAQH verification, and compliance requirements. The Provider Onboarding & Licensing Specialist manages license renewals, DEA renewals, CME compliance, and maintains accurate provider profiles in the credentialing database. This position plays a critical role in ensuring new providers can practice without delay and that existing providers remain in continuous compliance.

Responsibilities

• Coordinates the onboarding of all new providers, including physicians, mid-level providers, and PT/OT staff.
• Assists providers with obtaining Tennessee state licenses, including submission of applications and tracking of progress.
• Initiates malpractice carrier enrollment for new providers; ensures coverage is in place prior to practice start.
• Builds and maintains provider profiles in the centralized credentialing database (CMD).
• Performs and documents 90-day CAQH re-attestations for all providers to maintain payer and compliance requirements.
• Builds new provider NPPEs (National Provider Profile Enrollment System) sites as part of onboarding.
• Manages provider license renewals, DEA renewals, and submission of primary applications to state and federal agencies.
• Tracks and manages CME requirements for each provider; ensures compliance with CME requirements for licensing and DEA renewal.
• Provides reporting on license/DEA renewal timelines, CME completion status, and CAQH re-attestation compliance.
• Serves as a primary resource for providers regarding onboarding, licensing, and CME compliance.
• Coordinates with credentialing, compliance, and payer enrollment teams to ensure alignment of provider information.
• Performs other duties as assigned to support provider onboarding and compliance.

Requirements

Education: High school diploma or equivalent required. Associate's or Bachelor's degree in healthcare administration or related field preferred not required.

Experience: Minimum 3-5 years of experience in provider onboarding, licensing, or credentialing. Experience with CAQH, DEA renewals, and state licensure processes required. Familiarity with CMD or similar credentialing database strongly preferred.

Skills & Competencies: Strong knowledge of state licensure, DEA, CAQH, and CME compliance requirements. Excellent organizational skills and attention to detail, with ability to track multiple providers’ deadlines simultaneously. Strong communication skills to interface effectively with providers, licensing boards, malpractice carriers, and internal teams. Proficiency with credentialing/CAQH systems and Microsoft Office Suite. Ability to work independently and handle sensitive compliance information.

Equal Opportunity Employer
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