[Hiring] Credentialing, Licensing and Privileging Manager @Harrison.ai Services

Role Description

This role combines credentialing, licensing, and privileging across hospitals, practices, and states. Ownership of each domain below includes responsibility for building, scaling, and/or sustaining a functional system, with hands-on involvement during early development and the ability to delegate execution as the system matures. This is a pivotal role in ensuring we can safely, compliantly, and efficiently deliver radiology services as the practice scales.

What You Do:

• Credentialing, Licensing & Privileging (Core Accountability)
  • Own the full lifecycle of physician credentialing for Frontier Radiology, including initial credentialing, recredentialing, expedited onboarding, and ongoing monitoring.
  • Manage multi-state medical licensure processes, including IMLC applications, renewals, verifications, and lapse prevention.
  • Oversee collection, primary source verification, and maintenance of all required physician credentials, including:
    • Medical education and training
    • Board certification (ABR)
    • DEA, NPI, Medicare/Medicaid enrollment
    • CME compliance
    • Malpractice insurance and claims history
  • Manage hospital, facility, and practice privileging processes, including applications, renewals, and reappointments.
  • Serve as the primary liaison with hospital medical staff offices, credentialing committees.
  • Ensure all credentialing and privileging files are complete, accurate, and audit-ready.
  • Maintain FCVS and CAQH records at scale.
  • Lead delegated credentialing arrangements with hospitals, including audits and annual oversight.
• Compliance, Risk & Governance
  • Ensure compliance with federal, state, and local regulations and credentialing standards (NCQA, Joint Commission, hospital bylaws) related to physician employment, credentialing, and clinical service delivery.
  • Proactively identify and mitigate credentialing, licensing, or privileging risks that could impact patient care or contractual obligations.
  • Prepare for and support internal and external audits, and lead Joint Commission accreditation activities — readiness, evidence preparation, mock surveys, and ongoing standards compliance.
  • Develop, document, and maintain scalable credentialing policies, SOPs, and controls as Frontier Radiology grows.
  • Monitor OIG, SAM, NPDB, and state sanction databases on required cadences.
• Operational Enablement & Scale
  • Partner with Operations, Medical Leadership, MSO partners, and engineering/data teams to automate, streamline, and continuously improve credentialing workflows and reduce manual touchpoints.
  • Implement and maintain tracking systems and dashboards, and report KPIs — time-to-credential, time-to-privilege, expirables compliance, and reappointments.
  • Support expansion into new states, hospitals, and contracts by ensuring credentialing and licensing readiness.
  • Contribute to continuous improvement of physician workforce processes as Frontier Radiology scales.

Qualifications

• 5+ years’ experience in credentialing roles within healthcare environments.
• Demonstrated ownership of physician credentialing, licensing, and privileging processes across multiple states and facilities.
• Experience supporting or partnering with medical leadership and physician groups.
• Proven ability to manage complex, compliance-driven operational workflows.
• Direct experience with IMLC, FCVS and CAQH at scale.
• Experience with delegated credentialing and NCQA standards.

Requirements

• Strong understanding of US physician credentialing, privileging, and regulatory frameworks (CMS, NCQA, Joint Commission, hospital bylaws).
• Working knowledge of multi-state licensure management and teleradiology-specific compliance considerations.
• Understanding of physician employment and contracting models (W2, 1099, locums, MSO-supported).
• Strong organizational skills with exceptional attention to detail.
• Excellent stakeholder management and communication skills.

Benefits

• 🌍 Innovate for Global Good: Join us to pioneer world-first AI technology that transforms patient outcomes and helps build a healthier, fairer world.
• 🤝 Collaboration Across Continents: Work with brilliant minds from every corner of the globe in a culture built on trust, autonomy, and genuine teamwork.
• 🚀 Well-Funded & Global: Backed by world-class investors including Aware Super, Blackbird Ventures, Skip Capital, and Horizons Ventures, we’ve raised over US$240M to accelerate our global impact.
• 🌱 Scale Your Potential: Tap into yearly L&D budgets, mentoring, hackathons, and secondments—all supported by a transparent growth framework to grow your career.
• 💻 Flex for Life: Work when and where you do your best—with WFH options, flexible hours, and the autonomy to make an impact your way.
• 🙌 Support for Every Family Journey: From fertility to parenthood, loss, and even grandparenthood—we provide inclusive, thoughtful policies to support families in every stage.