[Hiring] License Specialist @Devoted Health

Role Description

At Devoted we provide excellent clinical care to our members through a unique and collaborative approach. As a license specialist, you will be responsible for maintaining 100% compliance within the licensure space. You will spend time collaborating with our various providers within Devoted Medical to ensure they are set up to successfully manage their licenses and certificates and to keep them current. You will be a subject matter expert on license requirements by state and share that knowledge with the rest of the organization.

Your Responsibilities and Impact will include:

• Maintain the credentialing files and required documentation of all providers, to include medical licenses, board certification, professional-liability insurance coverage, DEA, and other pertinent information, per Devoted Medical’s policy and procedures.
• Utilize WorkDay to maintain a current and accurate record of provider data for use in the credentialing and recredentialing process.
• Coordinate the management of the expirables process to ensure all clinical provider licenses and certificates remain current, ensuring appropriate proper notification prior to expiration.
• Track licensing status for all Devoted Medical providers.
• Review monthly reports on all Providers who will have licenses which are ready to expire within the next 30, 60 and 90 days and communicate results to appropriate staff members.
• Assist providers in understanding the licensure requirements in each state.
• Collaborate with Talent and Practice Management to monitor status of new hires to verify current licensure and ensure timely credentialing at the start of employment.
• Ensure processes comply with plan requirements and standards, bylaws, state and federal requirements, accreditation standards.

Qualifications

• You have experience in a fast-paced team environment that requires decision making and problem solving.
• You have a demonstrated ability to manage and meet multiple priorities and competing deadlines, problem solving and organization skills with attention to details.
• You’re a great team member with a can-do attitude.

Requirements

• 4+ years experience in Medical Licensing.
• You have working knowledge of CMS credentialing and privileging standards and experience with provider and health plan credentialing.
• Previous experience or interest in working with AI tooling and automated workflows.

Benefits

• Employer sponsored health, dental and vision plan with low or no premium.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles.
• Parental leave program.
• 401K program.
• And more....