About the role
Job Summary: The Credentialing and Licensing Associate is responsible for managing the end-to-end credentialing lifecycle for healthcare clinicians across our medical network. This role ensures providers are accurately and efficiently credentialed, licensed, and privileged in accordance with partner clinic, hospital system, and payer
requirements. The ideal candidate is highly organized, detail-oriented, and comfortable managing multiple providers and partnerships simultaneously across varying stages of the credentialing process, while communicating clearly with both internal teams and external providers. Key
Responsibilities: Documentation & Data Management Collect, verify, and organize all required credentialing documentation, including licenses, malpractice certificates, board certifications, and other required credentials. Enter and maintain accurate provider data across credentialing platforms (including CredentialStream) and internal tracking reports. Provider Communication & Coordination Communicate directly with healthcare providers to clarify outstanding questions and request missing or incomplete information. Prepare and send DocuSign packets, credentialing checklists, and required forms to providers. Coordinate the collection and submission of clinic-specific forms, privilege forms, and required attachments unique to each partner. Application Submission & Tracking Submit and track provider credentialing applications on behalf of partner clinics, including hospital systems. Collaborate with licensing specialists to confirm all required state licenses are actively in progress prior to submitting provider applications to partner clinics for credentialing. Request and collect malpractice claims history reports from providers and/or their prior insurance carriers on behalf of partner clinics. Track and proactively communicate credentialing barriers to relevant internal and external stakeholders to avoid delays. Required Skills and
Qualifications: Familiarity with credentialing terminology, including COIs (Conflicts of Interest), peer references, privileges, payer enrollment, primary source verification, and CAQH/FCVS profiles. Understanding of the differences between MD/DO and mid-level provider (NP/PA) credentialing
