Payor Enrollment, Licensing, and Credentialing Specialist

About us

LifeMD is a leading provider of virtual primary care committed to enhancing access to quality and affordable virtual and in-home healthcare. Catering to a wide range of health needs, LifeMD covers over 200 conditions, including primary care, men’s and women’s health, allergy & asthma, and dermatology. The company operates a vertically-integrated proprietary digital care platform, backed by a 50-state affiliated medical group and a US-based patient care center. LifeMD was recently ranked #166 in the 2023 Deloitte Fast 500.

About The Role

LifeMD is seeking a Payor Enrollment, Licensing, and Credentialing Specialist to join our Compliance Team. In this role, you will manage the day-to-day tasks of processing provider license applications, credentialing, and payor enrollment applications. This position works cross-functionally with many teams, including compliance, operations, clinical, and legal.

Responsibilities

• Manage the application process for commercial and government payor enrollment contracting on behalf of LifeMD clinicians and affiliated practice group entities
• Process new and renewal clinician licensure applications across 50 states, as well as monitoring and renewing active licensure across our nationwide practice
• Manage company relationships with consultants and vendors assisting with license applications and payer enrollment applications while taking ownership of the accountability of those parties to the overall process
• Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States
• Gather and compile information necessary to credential providers and ensure continued monitoring of such credentials
• Keep management informed of progress and escalate issues as needed related to license/DEA & CDS status
• Uphold all credentialing specific policies and procedures
• Maintain copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Assist with other ad hoc projects as needed

Requirements

• 5 years of experience in payor enrollment contracting and credentialing, both for individual providers and provider practice groups with commercial and government payors
• 5 years of experience with licensure processing (both initial application submission & renewal submission to state medical boards)
• Familiarity with the programs and tools commonly utilized to facilitate licensing, credentialing and payor enrollment, including CAQH, Availity, and PECOS
• Experience with initial state licensure applications submission process for multi-state practice
• Ability to establish and maintain effective working relationships with clinicians, management, staff, and contacts outside the organization
• Experience with electronic profile systems used to track provider licensure and certificates details
• Knowledge and comprehension of the credentialing process
• Ability to organize and prioritize work and manage multiple priorities/projects
• Excellent attention to detail with a proactive approach to meeting all deadlines and deliverables/goals
• Ability to research and analyze data independently
• Ability to multi-task and work independently with minimal supervision

Benefits

• Salary Range: $78,000-$110,000
• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Unlimited PTO Policy
• Paid Holidays
• Short Term & Long Term Disability
• Training & Development