[Hiring] Licensing and Credentialing Specialist @Oshi Health

Role Description

The Licensing & Credentialing Specialist plays a critical role in ensuring Oshi Health providers are enrolled, credentialed, and ready to deliver care. This role is primarily responsible for managing end-to-end payer enrollment activities, including:

• Provider enrollments
• Revalidations
• Demographic updates
• Delegated credentialing support
• Ongoing maintenance across commercial, Medicare, and Medicaid health plans

In addition to payer enrollment, this role supports provider licensing operations, including:

• New state license applications
• Renewals
• Ongoing compliance activities

Working closely with Practice Operations, Clinical Operations, Revenue Cycle, Recruiting, and external payer partners, the Licensing & Credentialing Specialist helps ensure providers are fully credentialed and enrolled on time, minimizing delays to patient care and reimbursement.

The ideal candidate is highly organized, detail-oriented, and thrives in a fast-paced environment. They are proactive in identifying and resolving issues, communicate effectively with internal and external stakeholders, and are passionate about creating efficient, scalable processes that support organizational growth while maintaining regulatory compliance.

Qualifications

• Bachelor’s Degree in Healthcare administration or related field
• 3+ years of experience in provider payer enrollment and credentialing
• Experience managing provider enrollments with commercial, Medicare, and Medicaid payers
• Experience supporting delegated credentialing activities, including provider rosters, ongoing monitoring, or audit preparation
• Experience with multi-state or national provider organizations
• Working knowledge of CAQH, payer portals, and provider credentialing systems
• Understanding of NCQA, CMS, state licensing, and payer credentialing requirements
• Strong organizational skills with the ability to manage multiple priorities and deadlines
• Excellent attention to detail and written and verbal communication skills
• Proficiency with Google Workspace, including Google Sheets

Requirements

• Certified Provider Credentialing Specialist (CPCS) certification or equivalent credential preferred
• 1+ year working in Verifiable Enrollment and Licensing Manager
• Experience supporting delegated credentialing audits and corrective action plans
• Familiarity with provider licensing and cross-state licensure
• Experience working with credentialing vendors (CVOs)
• Experience in a virtual care or telehealth environment
• Experience working in a fast-paced, high-growth startup environment
• Process improvement mindset with experience documenting or streamlining workflows

Benefits

• Salary Range: $65,000-75,000 per year plus bonus eligibility
• Health Benefits: Employer-sponsored medical, dental, and vision coverage
• Time Off: Flexible Time Off + 11 paid company holidays + 1 floating holiday
• Retirement: Eligibility to contribute to 401(k)
• Work Style: Remote-first — work from home within approved states
• Growth: Tailored professional development opportunities as we scale
• Life Concierge: Access to Overalls, because we know life happens