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Manager, Credentialing – Medical Staff Services
Prenuvo. Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across required states .
About the role
Key responsibilities & impact- Own end-to-end primary source verification, credentialing, re-credentialing, initial licensure, and license renewals for physicians, nurse practitioners, registered nurses, MRI technologists, and other licensed healthcare professionals across required states
- Define and maintain role- and state-specific licensure requirements and translate them into workflows, controls, tracking, and escalation processes
- Maintain authoritative healthcare professional rosters and credentialing records
- Manage renewals and monitor licensing-board status, sanctions, exclusions, and adverse-status changes
- Establish deadlines, controls, and escalation pathways to prevent lapses and maintain audit readiness
- Coordinate training, attestations, certifications, continuing medical education, background checks, fingerprinting, and compliance requirements
- Support internal and external audits
- Administer FPPE and OPPE workflows and maintain audit-ready records
- Lead healthcare professional onboarding and offboarding
- Coordinate credentialing, licensing, documentation, system access, training, and readiness dependencies
- Establish onboarding checklists and service levels, remove bottlenecks, and escalate incomplete requirements
- Establish sources of truth for credentialing, readiness, and FPPE/OPPE status
- Define data ownership, reconciliation processes, quality controls, reporting standards, and accountability
- Design standardized workflows using credentialing platforms and internal systems
- Use approved automation and AI tools to reduce manual work and improve reliability
- Measure cycle time, backlog, accuracy, readiness, service performance, and other operating metrics
- Identify recurring failure points and implement scalable solutions
- Serve as the centralized operational contact for clinician administrative needs and maintain service catalogs, intake processes, response standards, and escalation pathways
- Improve healthcare professional reimbursement workflows, including CME, licensure, and approved professional expenses
- Resolve administrative issues with Clinical Leadership, HR, Finance, Legal, Compliance, and IT
- Standardize, automate, delegate, or enable self-service for recurring clinician-support requests
- Partner with senior clinical and operational leaders on priorities, accountability, and operating standards
- Set deadlines and service-level expectations for healthcare professionals and cross-functional partners
- Escalate at-risk licenses, incomplete applications, non-responsiveness, and unresolved dependencies
- Support expansion into new states and markets by ensuring healthcare professionals are operationally ready
- Help define staffing, technology, vendor, and organizational strategies for credentialing and medical staff operations
- Manage assigned staff, contractors, and vendors through clear roles, priorities, service levels, workload allocation, and performance expectations
Requirements
What you’ll need- Five or more years of progressively responsible experience in healthcare professional credentialing, multi-state licensure, medical staff services, or medical group operations
- Direct experience with primary source verification, license renewals, compliance monitoring, audit-ready recordkeeping, and healthcare professional onboarding
- Demonstrated success building or improving credentialing systems, workflows, operational reporting, and source-of-truth records
- Experience operating in a complex, multi-state healthcare environment
- Ability to establish deadlines, influence healthcare professionals and cross-functional leaders, and escalate risks constructively
- Strong project management, analytical, communication, and operational problem-solving skills
- Ability to move between detailed workflow execution and higher-level program design
- Experience administering FPPE, OPPE, or comparable medical staff professional-practice evaluation processes, including tracking, documentation, reporting, and escalation
- Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa, current or future
- Successful candidates will undergo a background check
- Nice to have: experience in high-growth healthcare, digital health, telehealth, or multi-site medical groups
- Nice to have: experience implementing or optimizing credentialing platforms, workflow automation, or AI-enabled operational processes
- Nice to have: experience managing credentialing staff, shared-service teams, contractors, or external vendors
- Nice to have: experience designing centralized medical staff operations or healthcare professional support functions
Benefits
Comp & perks- Free whole-body scans for each team member
- Growth opportunities
- Weekly team gatherings to connect, share, and socialize
- Flexible vacation policy
- Commuter Benefits Plan covering transit and parking costs
- 401(k) retirement savings plan with pre-tax contributions; no company matching contributions currently offered
- Comprehensive health, dental, vision, and Mental Health coverage
- Opportunity to make a positive impact on people's lives and their health