Position Summary:
The State Licensing and Credentialing level)
Department:
Credentialing & Compliance
Reports To:
Position Summary:
...
The State Licensing and Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standards
Key Responsibilities:
1. State Licensing Coordination
Prepare and submit new license applications, renewals, and updates with state medical/nursing boards.
Monitor license expiration dates and proactively manage renewals to avoid lapses.
Liaise with state boards to resolve delays or discrepancies in applications.
Maintain thorough knowledge of state-specific requirements, timelines, and fees.
2. Licensure Compact Programs (IMLC/NLC)
Process multistate licenses under Interstate Medical Licensure Compact (IMLC) or Nurse Licensure Compact (NLC) rules.
Keep up to date with changes in compact states, eligibility criteria, and documentation needs.
3. Credentialing Support
Complete primary source verification (PSV) for licenses, education, DEA, board certification, OIG/SAM exclusions, etc.
Work closely with credentialing analysts to ensure data accuracy in credentialing databases (e.g., Cactus, Modio, symplr, Citrix etc..).
4. Data Management & Reporting
Maintain detailed, audit-ready records of licensing activities.
Generate regular reports on licensing status, pending applications, and expirations.
Update internal systems and provider directories with current licensure information.
5. Stakeholder Communication
Act as a point of contact for providers regarding licensing requirements, timelines, and documentation.
Collaborate with credentialing, compliance, and provider relations teams if required
6. Audit & Compliance
Support internal and external audits (e.g., NCQA, URAC, Joint Commission).
Ensure adherence to CMS, state, and accrediting body standards.
Required Skills and Qualifications:
Bachelor’s degree or equivalent experience in healthcare administration or a related field.
2–5 years of experience in credentialing, licensing, or provider enrollment.
Knowledge of state licensure processes for MDs, DOs, NPs, and RNs.
Familiarity with IMLC, NLC, and digital application portals (e.g., FCVS, BREEZE).
Strong organizational skills with attention to detail and deadlines.
Proficiency in credentialing software (e.g., Cactus, Verity, Modio, symplr).
Excellent communication and follow-up skills.
Preferred Qualifications:
NAMSS certification (CPCS or CPMSM) a plus.
Experience in multi-state or telehealth provider licensing.
Prior involvement in process improvement or automation of licensing workflows.
Work Environment: work from office
Must be comfortable working in a fast-pace
experience
6show more Position Summary:
The State Licensing and Credentialing level)
Department:
Credentialing & Compliance
Reports To:
Position Summary:
The State Licensing and Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standards
Key Responsibilities:
1. State Licensing Coordination
Prepare and submit new license applications, renewals, and updates with state medical/nursing boards.
Monitor license expiration dates and proactively manage renewals to avoid lapses.
Liaise with state boards to resolve delays or discrepancies in applications.
Maintain thorough knowledge of state-specific requirements, timelines, and fees.
2. Licensure Compact Programs (IMLC/NLC)
Process multistate licenses under Interstate Medical Licensure Compact (IMLC) or Nurse Licensure Compact (NLC) rules.
...
Keep up to date with changes in compact states, eligibility criteria, and documentation needs.
3. Credentialing Support
Complete primary source verification (PSV) for licenses, education, DEA, board certification, OIG/SAM exclusions, etc.
Work closely with credentialing analysts to ensure data accuracy in credentialing databases (e.g., Cactus, Modio, symplr, Citrix etc..).
4. Data Management & Reporting
Maintain detailed, audit-ready records of licensing activities.
Generate regular reports on licensing status, pending applications, and expirations.
Update internal systems and provider directories with current licensure information.
5. Stakeholder Communication
Act as a point of contact for providers regarding licensing requirements, timelines, and documentation.
Collaborate with credentialing, compliance, and provider relations teams if required
6. Audit & Compliance
Support internal and external audits (e.g., NCQA, URAC, Joint Commission).
Ensure adherence to CMS, state, and accrediting body standards.
Required Skills and Qualifications:
Bachelor’s degree or equivalent experience in healthcare administration or a related field.
2–5 years of experience in credentialing, licensing, or provider enrollment.
Knowledge of state licensure processes for MDs, DOs, NPs, and RNs.
Familiarity with IMLC, NLC, and digital application portals (e.g., FCVS, BREEZE).
Strong organizational skills with attention to detail and deadlines.
Proficiency in credentialing software (e.g., Cactus, Verity, Modio, symplr).
Excellent communication and follow-up skills.
Preferred Qualifications:
NAMSS certification (CPCS or CPMSM) a plus.
Experience in multi-state or telehealth provider licensing.
Prior involvement in process improvement or automation of licensing workflows.
Work Environment: work from office
Must be comfortable working in a fast-pace
experience
6show more
