Licensing and Credentialing Specialist

Hey Jane

Licensing & Credentialing Specialist managing provider licensing and payer enrollment for telehealth services. Ensuring compliance and facilitating patient-centered care across approved US states.

Posted 6/24/2026part-timeRemote • California, Colorado, Illinois, Maryland, Massachusetts, New Jersey, New York, Oregon, Washington • 🇺🇸 United StatesJuniorMid-Level💰 $60,000 - $70,000 per yearWebsite

About the role

Key responsibilities & impact

Manage end-to-end provider licensing workflows across multiple states, including initial applications, renewals, and maintenance for all provider types (MDs, NPs, CNMs, RNs, etc.)
Own payer enrollment processes for commercial and government payers (Medicaid, Medicare), from initial application through active status
Maintain and update CAQH profiles for all providers
Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses in provider ability to practice
Serve as the primary liaison between clinicians, state medical/nursing boards, payers, and internal stakeholders
Follow up persistently and proactively with external agencies and boards to move applications forward and resolve delays
Develop and document SOPs and workflows for licensing and credentialing processes as the company scales
Partner closely with clinical, operations, and business development teams to ensure providers are enrolled and ready to see patients on time
Identify gaps in current processes and implement improvements to reduce administrative burden on clinicians
Ensure compliance with licensing requirements, credentialing standards, and HIPAA requirements

Requirements

What you’ll need

2+ years of experience in provider licensing and credentialing, ideally in a telehealth or multi-state setting
Hands-on experience with CAQH, state licensing portals, and payer enrollment systems
Familiarity with multi-state licensing compacts (IMLC, NLC) and telehealth-specific licensing and compliance considerations
Working knowledge of credentialing standards and government payer enrollment processes
Exceptional organizational skills with the ability to manage a high volume of deadlines and follow-ups simultaneously
Strong attention to detail with a track record of catching errors in complex documentation
Proactive, persistent communicator — comfortable following up with state boards, payers, and busy clinicians
Self-starter who can build structure and process in an ambiguous, fast-moving startup environment
Proficiency google sheets/excel or project management tools
High integrity and discretion when handling sensitive provider information

Benefits

Comp & perks

Unlimited vacation
Health, dental, and vision insurance with FSA

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

provider licensingcredentialingpayer enrollmentCAQHmulti-state licensingcredentialing standardsgovernment payer enrollmenttelehealth licensingSOP developmentprocess improvement

Soft Skills

organizational skillsattention to detailcommunicationproactivepersistenceself-starterproblem-solvingtime managementcollaborationadaptability