AddressHealthcare Without Rival
Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.
Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.
Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Licensing Specialist to join our team remotely.
About the role:
The Licensing Specialist is responsible for license acquisition and renewal for health care providers throughout the states performing services for Premise Health to ensure compliance with state regulations and professional corporation needs. This is a key position to ensure enterprise ability to perform contracted scope of work.
The Licensing Specialist is responsible for all assigned health care professionals state licensing and renewals to include collection, verification and ongoing maintenance of essential documents needed to be in compliance with each state health care professional licensing. This role promotes compliance with company policies and procedures as well as local, state and federal laws and regulations as well as meeting or exceeding AAAHC and NCQA standards for health care professionals employed and contracted to provide services for Premise Health.
Job Requirements:
- Accountable for accurate, timely and complete applications, forms and documents needed to obtain and maintain health care professional licenses in multiple states and territories.
- Obtains and verifies documents and applications for Health Care Professionals based on state or territory for timely acquisition and renewal of required licenses and endorsements.
- Documents preparation, execution, distribution and verification of healthcare professional license(s) in identified states/territories.
- Monitors application processes and timing for renewal of licenses.
- Coordinates with applicants, state agencies and credentialing to ensure timely and efficient license acquisition and renewal.
- Ensures timely completion of health care professional licensing activities for all assigned health care professionals.
- Communicates approval of licenses to credentialing, providers and managers
- Acts as liaison with Hiring Manager, Human Resources, Talent Acquisition, Operations, Credentialing and Health Care Professional.
- Proactively reviews and monitors state requirements and regulations related to licensing.
- Maintains internal Health Care Professional files including obtaining current/updated copies of essential documents, loading/scanning all documents, and updating individual files in company credentialing software/files.
- Provides administrative support to Credentialing Director.
- Participates in team meetings to assist and help implement ways to continually improve the credentialing process.
- Identifies, corrects and communicates issues with individual or group files, processes and programs.
- Researches licensing and practice needs for each state/region for various providers and specialties.
Education:
- Associate/Bachelor Degree preferred or equivalent experience in healthcare environment.
Experience:
- 2-4 years of applicable experience in healthcare provider licensing.
Knowledge and Skills:
- Excellent written and verbal communication skills.
- High level of self-accountability.
- Superior attention to detail.
- Ability to multi-task under tight timelines with strong administrative and organizational skills to prioritize workload to meet business needs and deadlines.
- Team oriented with proven experience with internal and external teams.
- Pleasant interpersonal demeanor and ability to work with all levels of colleagues and leadership.
- Proficient in Adobe, Microsoft Office Products and Internet navigation.
- Ability to work independently and virtually.
Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.
Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
