State Licensing and Credentialing Specialist
State Licensing and Credentialing Specialist
Posted on :
14-07-2025
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1 Vacancy
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Job Description
1. State Licensing Coordination
Prepare and submit new license applications renewals and updates with state medical/nursing boards.
Monitor license expiration dates and proactively manage renewals to avoid lapses.
Liaise with state boards to resolve delays or discrepancies in applications.
Maintain thorough knowledge of state-specific requirements timelines and fees.
2. Licensure Compact Programs (IMLC/NLC)
Process multistate licenses under Interstate Medical Licensure Compact (IMLC) or Nurse Licensure Compact (NLC) rules.
Keep up to date with changes in compact states eligibility criteria and documentation needs.
3. Credentialing Support
Complete primary source verification (PSV) for licenses education DEA board certification OIG/SAM exclusions etc.
Work closely with credentialing analysts to ensure data accuracy in credentialing databases (e.g. Cactus Modio symplr Citrix etc..).
4. Data Management & Reporting
Maintain detailed audit-ready records of licensing activities.
Generate regular reports on licensing status pending applications and expirations.
Update internal systems and provider directories with current licensure information.
5. Stakeholder Communication
Act as a point of contact for providers regarding licensing requirements timelines and documentation.
Collaborate with credentialing compliance and provider relations teams if required
6. Audit & Compliance
Support internal and external audits (e.g. NCQA URAC Joint Commission).
Ensure adherence to CMS state and accrediting body standards.
Required Skills and Qualifications:
Bachelors degree or equivalent experience in healthcare administration or a related field.
2 5 years of experience in credentialing licensing or provider enrollment.
Knowledge of state licensure processes for MDs DOs NPs and RNs.
Familiarity with IMLC NLC and digital application portals (e.g. FCVS BREEZE).
Strong organizational skills with attention to detail and deadlines.
Proficiency in credentialing software (e.g. Cactus Verity Modio symplr).
Excellent communication and follow-up skills.
Preferred Qualifications:
NAMSS certification (CPCS or CPMSM) a plus.
Experience in multi-state or telehealth provider licensing.
Prior involvement in process improvement or automation of licensing workflows.
Work Environment: work from office
Must be comfortable working in a fast-pace
Prepare and submit new license applications renewals and updates with state medical/nursing boards.
Monitor license expiration dates and proactively manage renewals to avoid lapses.
Liaise with state boards to resolve delays or discrepancies in applications.
Maintain thorough knowledge of state-specific requirements timelines and fees.
2. Licensure Compact Programs (IMLC/NLC)
Process multistate licenses under Interstate Medical Licensure Compact (IMLC) or Nurse Licensure Compact (NLC) rules.
Keep up to date with changes in compact states eligibility criteria and documentation needs.
3. Credentialing Support
Complete primary source verification (PSV) for licenses education DEA board certification OIG/SAM exclusions etc.
Work closely with credentialing analysts to ensure data accuracy in credentialing databases (e.g. Cactus Modio symplr Citrix etc..).
4. Data Management & Reporting
Maintain detailed audit-ready records of licensing activities.
Generate regular reports on licensing status pending applications and expirations.
Update internal systems and provider directories with current licensure information.
5. Stakeholder Communication
Act as a point of contact for providers regarding licensing requirements timelines and documentation.
Collaborate with credentialing compliance and provider relations teams if required
6. Audit & Compliance
Support internal and external audits (e.g. NCQA URAC Joint Commission).
Ensure adherence to CMS state and accrediting body standards.
Required Skills and Qualifications:
Bachelors degree or equivalent experience in healthcare administration or a related field.
2 5 years of experience in credentialing licensing or provider enrollment.
Knowledge of state licensure processes for MDs DOs NPs and RNs.
Familiarity with IMLC NLC and digital application portals (e.g. FCVS BREEZE).
Strong organizational skills with attention to detail and deadlines.
Proficiency in credentialing software (e.g. Cactus Verity Modio symplr).
Excellent communication and follow-up skills.
Preferred Qualifications:
NAMSS certification (CPCS or CPMSM) a plus.
Experience in multi-state or telehealth provider licensing.
Prior involvement in process improvement or automation of licensing workflows.
Work Environment: work from office
Must be comfortable working in a fast-pace
Employment Type
Full-time
Key Skills
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