InStride Health is looking for a Licensing & Credentialing Specialist to support the licensing and credentialing process for InStride clinical providers. Partnering closely with the care team, the Licensing & Credentialing Specialist plays a key role in our ability to scale patient services and increase access. The ideal candidate will be responsible for ensuring that all healthcare professionals within our organization are properly licensed and credentialed to practice in accordance with state regulations and organizational standards. This position requires strong attention to detail, a proactive orientation to supporting our care team, and excellent task management skills.

Key Responsibilities

  • Licensing
    • Support the provider setup and licensing portions of the onboarding process for new clinical hires
    • Manage the end-to-end process of licensing applications, ensuring completeness and accuracy of documentation for our clinicians, including psychologists, therapists, counselors, and physicians.
    • Track and manage state license renewals, as well as compact renewals where necessary
    • Monitor and update licensing information to reflect status and changes
    • Research and interpret state and federal regulations governing mental health services licensure to stay up to date with the latest regulations
    • Develop and maintain a comprehensive understanding of licensing requirements across multiple jurisdictions to ensure compliance as the company expands geographically
  • Credentialing
    • Coordinate the initial credentialing and re-credentialing processes for licensed providers , including reviewing and verifying education, training, licensure, and professional experience to ensure adherence to organizational standards and regulatory requirements.
    • Track and manage all provider credentialing as we add new payor contracts and expand to new states.
    • Monitor and update credentialing information to reflect status and changes
    • Maintain a comprehensive database of provider credentials, ensuring accuracy and compliance with organizational policies and relevant regulations
    • Support Payor enrollment activities where required to ensure providers are properly set up in Payor systems
  • Documentation and Compliance
    • Maintain accurate and up-to-date records of all licensing, credentialing, and privileging activities, including documentation of compliance with regulatory standards
    • Conduct regular audits and reviews of licensing and credentialing records to identify discrepancies, gaps, or potential areas of non-compliance
  • Cross-functional Collaboration
    • Collaborate closely with internal stakeholders, including clinical operations, legal, human resources, and finance teams, to ensure alignment of licensing and credentialing activities with organizational goals and objectives
    • Serve as a subject matter expert on licensing and credentialing matters, providing guidance and support to internal teams as needed

 

What You Need to Succeed in the Role

  • Bachelor’s degree
  • 3-5+ years administrative experience in healthcare setting is preferable
  • Experience with licensing or credentialing (with varying provider types) required; specific experience with psychologists, clinical social workers, mental health counselors, and physicians preferred
  • Thorough knowledge of state and federal regulations related to mental health licensure, credentialing, and privileging requirements
  • Very strong attention to detail and outstanding organization skills
  • Excellent task management and communication skills, ability to work successfully across diverse teams
  • Basic computer skills, facility with and openness to new technologies

Why Join Our Team

  • Ground floor entry into a company that is changing the landscape of pediatric mental health treatment
  • Ability to help thousands of children and families get the care they need
  • Excellent compensation for doing what you love
  • 401(k) with employer matching
  • Paid parental leave policy
  • 4-week paid sabbatical after 5 years of employment
  • Opportunity to work with talented and highly experienced team members who have devoted their lives to solving this problem
  • Fully virtual: work from the comfort of your home with periodic in-person off-sites (COVID-friendly of course)
  • Opportunity for growth within the company
  • Generous benefits package
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