Total Life

General

• Manage the collection, verification, and maintenance of all provider credentials, including professional licenses, board certifications, DEA registrations, and malpractice insurance.
• Oversee the submission and tracking of enrollment applications for Medicare (PECOS), Medicaid, and commercial insurance panels (e.g., Humana).
• Maintain and update provider profiles in the CAQH ProView database, ensuring timely re-attestations every 120 days.
• Conduct thorough background checks and verify education, training, and work history to ensure compliance with NCQA and CMS standards.
• Update and maintain accurate provider data within internal systems (TLOS and Healthy) to ensure the Active Care team has real-time visibility into provider capacity and expertise.
• Proactively monitor and notify clinicians of upcoming license or certification expirations to prevent gaps in service or billing.
• Collaborate with the Revenue Cycle Management (RCM) team to resolve claim denials related to provider credentialing or enrollment issues.

Provider Enrollment, Credentialing Specialist

• Conduct telehealth follow-up visits for psychiatric medication management in geriatric patients
• Monitor treatment response and adjust medications with attention to age-related risks, polypharmacy, and medical comorbidities
• Perform cognitive screenings and assessments (e.g., MoCA, MMSE, or similar tools)
• Develop initial care coordination and behavioral support plans
• Collaborate closely with nursing staff who will provide ongoing monitoring and patient support
• Communicate with supervising psychiatrist as needed
• Maintain timely and accurate documentation within the EMR

Physician Assistant/Psych Nurse Practitioner

Mental Health Physician Assistant, PMHNP

Backend Engineer

• Develop Software: Design, write, and deploy high-quality applications built with a Go backend and Plain Vanilla Javascript frontend.
• Build responsive, mobile-first web interfaces using modern HTML, CSS and ES6, ensuring performance and accessibility across all devices.
• Design scalable APIs and data models in Go and PostgreSQL that can handle complex, data-heavy workflows.
• Work closely with product and design to shape features from idea to production.
• Optimize performance and reliability of SQL queries and backend services.
• Team Collaboration: Work closely with product, QA, and operations teams; provide mentorship to junior developers.
• Project Management: Handle multiple projects simultaneously, meet deadlines, and proactively resolve roadblocks.
• Process Improvement: Recommend and implement enhancements, conduct code reviews, and promote best practices in testing and maintainability.

Provider Enrollment, Credentialing Specialist

Physician Assistant/Psych Nurse Practitioner

Mental Health Physician Assistant, PMHNP

Full-Stack Developer, Go, Javascript