Manager, Licensing – Credentialing
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Job Description
Licensing and credentialing leader scaling Daymark Health’s value-based oncology care platform. Managing multi-state clinician licensing, payer credentialing, and Medicare enrollment.
Responsibilities:
- Set the multi-state licensing roadmap and priorities against Daymark’s launch timeline for MD, DO, NP, and RN pathways
- Accelerate provider licensing through interstate compacts (IMLC, NLC, APRN Compact) and FCVS
- Run licensing applications and renewals through completion
- Maintain accurate licensing and credentialing trackers and report provider status to leadership
- Build payer credentialing plans aligned with state priorities, licensing, and go-live dates
- Establish and maintain CAQH profiles and attestations
- Submit and manage commercial payer applications
- Own Medicare enrollment via PECOS, including 855I/855B/855R filings, reassignments, revalidations, and updates
- Manage MAC relationships and resolve enrollment issues
- Lead licensing and credentialing onboarding for new clinicians
- Advise on scope of practice, practice authority, supervision, collaborative practice agreements, and prescriptive authority
- Track CME, continuing education, and clinical certifications such as CPR/BLS
- Hire and lead a specialist team as the function grows
- Build scalable workflows, QA checks, reporting rhythms, and cross-functional processes
Requirements:
- 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
- Strategic and highly execution-oriented approach
- Strong organizational skills for high-volume, detail-heavy workflows
- Ability to partner across clinical, operational, finance, and legal teams
- High standards for compliance and operational integrity
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