Senior Associate, Licensing & Credentialing

Job Description:

About the Role:

As Senior Associate, Licensing & Credentialing, you will work to help manage licensure and credentialing for our clinicians (MD, NP, PA, RN, LCSW, PharmD) as we scale. You’ll work closely with our Care Delivery Services, Market Clinical Operations, People Ops, and Compliance teams to manage a best-in-class credentialing function at Cityblock.

Responsibilities:

• Fully manage and run our licensing and credentialing program and optimize where opportunities exist. 

• Provide introductions to new providers and work closely with them to support the credentialing application process

• Maintain record of current state licensure, DEA certification, malpractice coverage, and other required credentialing documentation and expiration dates for all providers

• Project manage renewal process for all provider licensing and credentialing 

• Work with new providers to establish licensure and work through the credentialing process with our health plan partners 

• Serve as a point person to health plan partners to process, update, and manage credentialing submission and re-credentialing needs

• Lead efforts around building in-house credentialing functions, as applicable

Skills Required

• Seamless and organized management of all provider licensing, credentialing, and malpractice. Structure in place for timely credentialing processing, communications, and tracking mechanism to position Cityblock for delegated credentialing over time. Start-to-end workflows being executed accurately and expeditiously for credentialing process across all markets

• Identification of necessary external systems required for comprehensive credentialing

• Strong, trusting relationships built with partner counterpart

• Credentialing Expertise: Strong knowledge of NCQA credentialing requirements and certified programs 

Requirements for the Role:

• Education

  • Bachelor’s degree 

  • Specialty Area: Credentialing

• Experience

  • 3+ years of credentialing experience

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: 

$74,000 – $102,000

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine.  Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock.  Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption.  Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements.  The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.