[Hiring] Manager, Licensing & Credentialing @Boulder Care

Role Description

The Manager of Licensing & Credentialing leads the operations that ensure Boulder providers are fully licensed, credentialed, and enrolled to deliver care without interruption. This role oversees provider licensing, credentialing, and payor enrollment operations while leading a high-performing team and driving scalable, technology-forward processes.

The ideal candidate brings strong operational leadership, sound judgment, and a continuous improvement mindset, with an interest in leveraging automation and AI-enabled solutions to improve efficiency, accuracy, and provider experience.

Team Leadership & Management – 30%

• Lead, coach, and develop the Licensing & Credentialing team through mentorship, feedback, and performance management
• Establish clear priorities, goals, and accountability across the team
• Foster a culture grounded in collaboration, ownership, and continuous improvement
• Monitor workload and team capacity to ensure timely and accurate execution
• Serve as an escalation point for operational issues and cross-functional coordination
• Build and maintain clear documentation, workflows, and team best practices

Licensing, Credentialing & Payor Enrollment Operations – 50%

• Oversee end-to-end provider licensing, credentialing, re-credentialing, and payor enrollment processes across commercial and government payors
• Ensure providers are fully credentialed, licensed, and enrolled in alignment with onboarding timelines and operational needs
• Manage state licenses, DEA registrations, controlled substance certifications, and related renewals
• Ensure provider records, applications, and supporting documentation are accurate, complete, and maintained appropriately
• Track application progress and proactively address delays, risks, and operational bottlenecks
• Maintain strong relationships with payors, credentialing entities, and regulatory agencies
• Partner cross-functionally with Revenue Operations, Clinical Operations, Compliance, and other stakeholders to support provider readiness and revenue cycle performance
• Ensure compliance with organizational standards and applicable regulatory requirements

Technology, Systems & Operational Scale – 20%

• Lead the evolution of credentialing and licensing operations through technology, automation, and AI-enabled solutions
• Identify opportunities to reduce manual work, improve accuracy, and accelerate provider onboarding timelines
• Partner cross-functionally with teams (e.g. HR, Finance, Payer Partnerships, Clinical Operations) to implement scalable systems and workflow improvements
• Evaluate and optimize credentialing platforms, tracking systems, reporting tools, and operational dashboards
• Use operational data and performance insights to improve visibility, identify trends, and drive continuous improvement

Qualifications

• 5+ years of experience in credentialing, provider enrollment, licensing, network development, or related healthcare operations
• 2+ years of people leadership or team management experience preferred
• Strong understanding of provider credentialing, licensing, and payor enrollment operations
• Experience working with commercial and government payors, including Medicaid and Medicare
• Experience improving workflows through technology, automation, or systems optimization
• Interest in leveraging AI-enabled solutions to improve operational scalability and efficiency
• Strong organizational, problem-solving, and communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Consistently demonstrates Boulder’s core values

Requirements

• Create an environment where people feel supported, challenged, and set up to succeed
• Lead with consistency, transparency, and accountability
• Invest in developing others, not just managing tasks
• Show up with curiosity, ownership, and a bias toward solving problems

Work Environment

• This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, or WV.
• Applicants must reside and work in one of those states to be considered.
• Changes to working location require pre-approval from People Operations and are not guaranteed.
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
• Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards.
• Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like.

Travel

• No travel is expected for this position.

Education

• We don’t require college or university degrees. We also don’t give folks priority based on those things. We care about your experience, life story, and demonstrable skills.

Expected Hours

• This is a full-time remote position expected to work 40 hours between Monday-Friday during standard business hours.

Hiring Process

• As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references.
• By applying, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references.
• We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required.

Compensation

• The starting pay range for this position is $90,000-$120,000 annually; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.
• The total compensation package for this position may also include other elements, including equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).

Perks and Benefits

• Contribute to meaningful, life-saving work!
• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
• Supplemental mental health services through Talkspace for care needed following tough patient visits
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties

Our Values

• The people we care for always come first
• Our opportunity is also our duty, in service to others
• Share facts to change minds, instill empathy to change hearts
• Move the industry forward: follow the data
• Strong individuals, stronger together