Manager, Licensing & Credentialing
Role Overview
We’re looking for someone to take ownership of Licensing and Credentialing at Daymark and grow it into a real function. You’ll be responsible for keeping our clinicians licensed and credentialed to practice and bill as we move into new states quickly, covering licensing strategy, commercial payer credentialing, Medicare enrollment, and the compliance questions that sit underneath all of it. The work touches Clinical Operations, Finance, Legal, Revenue Cycle, and People, so you’ll be comfortable operating across all of them.
This is a role for someone who is genuinely hands-on with licensing and credentialing. You know the compacts, the expedited routes, and how to time credentialing against launch and payer-contracting deadlines, but you can also step back and think about state expansion and prescriptive authority as connected problems. We think of this as the level where execution and strategy meet: detailed enough to run the applications and renewals yourself today, senior enough to design the system and, over time, hire and lead a team of specialists to run it.
Key Skills for This Role
Full Job Posting
ABOUT THE ROLE
We’re looking for someone to take ownership of Licensing and Credentialing at Daymark and grow it into a real function. You’ll be responsible for keeping our clinicians licensed and credentialed to practice and bill as we move into new states quickly, covering licensing strategy, commercial payer credentialing, Medicare enrollment, and the compliance questions that sit underneath all of it. The work touches Clinical Operations, Finance, Legal, Revenue Cycle, and People, so you’ll be comfortable operating across all of them.
This is a role for someone who is genuinely hands-on with licensing and credentialing. You know the compacts, the expedited routes, and how to time credentialing against launch and payer-contracting deadlines, but you can also step back and think about state expansion and prescriptive authority as connected problems. We think of this as the level where execution and strategy meet: detailed enough to run the applications and renewals yourself today, senior enough to design the system and, over time, hire and lead a team of specialists to run it.
Clinical Licensing Strategy & Execution
Set the multi-state licensing roadmap and priorities against Daymark’s launch timeline, and know the terrain state by state for MD, DO, NP, and RN pathways.
Get providers licensed faster by working the fastest route available — interstate compacts (IMLC, NLC, APRN Compact) and FCVS where they apply.
Run applications and renewals to completion, from verifications and board back-and-forth through clearing whatever holds them up.
Keep the licensing tracker and platform accurate, and keep leadership current on where every provider stands.
Payer Credentialing Strategy, Research & Execution
Build the credentialing plan around which payers matter in which states, and time it to line up with licensing and go-live dates.
Stand up and maintain CAQH profiles and attestations.
Submit and shepherd commercial payer applications, chasing down pending items and fixing whatever the payer flags.
Keep the credentialing tracker current and leadership in the loop.
Medicare Credentialing & Enrollment
Figure out the Medicare enrollment approach and the right MAC jurisdiction for each state we enter.
Own PECOS end to end — the 855I/855B/855R filings, reassignments, revalidations, and change-of-info updates.
Stay on top of the MACs: respond to development requests, resolve issues, and report status back to the team.
New Hire Onboarding Support
Kick off licensing and credentialing for every new clinician, starting from documentation intake.
Work with the internal team to sequence credentialing against start dates so no one is blocked from practicing or billing on day one.
Keep onboarding documentation and status organized and visible.
Clinical Operations Compliance Support
Be the go-to for how scope of practice, practice authority, and supervision rules actually work state to state.
Support collaborative practice agreements and prescriptive authority — controlled substance registrations, DEA questions — looping in outside counsel where it makes sense.
Track CME, continuing education, and clinical certifications like CPR/BLS so nothing lapses.
Team Building & Leadership
Hire and lead a small specialist team beneath you as the function grows.
Build the repeatable workflows, QA checks, and reporting rhythms that let the function scale, and partner across teams to unblock what stalls.
Experience
Direct, hands-on experience owning provider licensing and payer credentialing end to end, including interstate compacts (IMLC, NLC, APRN Compact) and expedited pathways.
Experience with Medicare enrollment via PECOS (855I, 855B, 855R), CAQH, and credentialing platforms.
Familiarity with scope of practice, collaborative practice agreements, and prescriptive/controlled substance authority in a multi-state context.
Experience at a startup or high-growth healthcare company is a plus.
Qualities
You are both strategic and highly execution-oriented; you can design the system and work within it.
You bring strong organizational instincts and are comfortable managing high-volume, detail-heavy workflows without dropping anything.
You can partner effectively across clinical, operational, finance, and legal teams.
You are energized by building from scratch and growing a function.
You have high standards for compliance and operational integrity.
Additional Information
The expected compensation for this role is $120,000 to $140,000 annually, depending on location & experience.
This role is fully remote but will operate on either Central or Eastern time business hours.
About Daymark Health
Daymark Health provides in-home and virtual supportive cancer care to patients through health plans.
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