Licensing & Credentialing Specialist

About Us

InStride Health's mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation's most trusted provider of pediatric anxiety and OCD care.

Team

InStride Health: Our Core Values

• Give Heart : We lead with heart, treating patients and their families the way we want our loved ones to be treated.
• Work Smart : We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation.
• Have Humility : We leave our egos at the door, empowering our team to collaborate, celebrate diversity, and adopt a growth mindset.
• Embrace Community : We all belong. We are in this together, and we never worry alone. We believe in each other and recognize that every voice matters.

About the Role

InStride Health is looking for a Licensing & Credentialing Specialist to support the licensing and credentialing process for InStride clinical providers. Partnering closely with the care and growth teams, the Licensing & Credentialing Specialist plays a key role in our ability to scale patient services and increase access. The ideal candidate will be responsible for ensuring that all healthcare professionals within our organization are properly licensed, credentialed, and enrolled with payors to practice in accordance with state regulations and organizational standards and will also be able to provide ongoing support to existing providers. The Licensing and Credentialing Specialist will be instrumental in advancing growth initiatives as InStride expands into additional states as well. This position requires strong attention to detail, a proactive orientation to supporting our care team, ability to handle competing priorities, collaborative drive, and excellent task management skills.

Key Responsibilities

• Licensing
  • Manage the end-to-end process of licensing applications, ensuring completeness and accuracy of documentation for our clinicians, including psychologists, social workers, counselors, physicians, and nurse practitioners.
  • Track and manage expirables where necessary.
  • Research and interpret state and federal regulations governing mental health services licensure to stay up to date with the latest regulations as well as track new compact licensure legislation.
  • Develop and maintain a comprehensive understanding of licensing requirements across multiple jurisdictions to ensure compliance as the company expands geographically.
• Payor Enrollment and Credentialing
  • Coordinate the initial credentialing and re-credentialing processes for licensed providers.
  • Track and manage all payer enrollments as we add new payor contracts and expand to new states.
  • Monitor and update credentialing information to reflect status and changes.
  • Maintain a comprehensive database of provider credentials, ensuring accuracy and compliance with organizational policies and relevant regulations.
  • Support payor enrollment activities where required to ensure providers are properly set up in payor systems.
  • Maintain up to date provider rosters.
• Documentation and Compliance
  • Maintain accurate and up-to-date records of all licensing and credentialing activities, including documentation of compliance with regulatory standards.
  • Conduct regular audits and reviews of licensing and credentialing records to identify discrepancies, gaps, or potential areas of non-compliance.
• Cross-functional Collaboration
  • Collaborate closely with internal stakeholders, including clinical operations, legal, human resources, and finance teams, to ensure alignment of licensing and credentialing activities with organizational goals and objectives.
  • Serve as a subject matter expert on licensing and credentialing matters, providing guidance and support to internal teams as needed.

What You Need to Succeed in the Role

• Bachelor's degree.
• At least 2 years administrative experience, familiarity working in a healthcare startup strongly preferred.
• Experience with clinician licensing preferred, specific experience with an emphasis on psychologists, clinical social workers, mental health counselors, physicians, and nurse practitioners.
• Experience with payer enrollment and NCQA-compliant credentialing highly preferred, bonus points if you have used a credentialing platform or CVO previously.
• Very strong attention to detail and outstanding organization skills.
• Excellent task management and communication skills, ability to work successfully across diverse teams.
• Proactively take ownership of diverse projects and tasks.
• Proficient in basic computer skills with a strong ability to learn and adapt to new technologies quickly.

The expected annual salary for this role is between $55,000-58,000. Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, etc.

Why Join Our Team

• Generous benefits package (401k with match, Flexible PTO, paid holidays, paid service days, 4 week paid sabbatical, 12 week paid parental leave, health benefits starting on your first day, and more).
• Opportunity to join a mission-driven company that is changing the landscape of pediatric mental health treatment.
• Chance to make a far-reaching impact by helping children and families access desperately-needed, evidence-based care.
• Opportunity to work with talented and experienced team members who have devoted their lives to solving this problem.
• Fully virtual: work from the comfort of your home with periodic in-person retreats.

Commitment to Diversity, Equity, Inclusion, & Belonging (DEIB)

We want to make our clinical services available for everyone, no matter where you come from, what you look like, or how you identify. To achieve this, we recognize we must continually make progress in building a more diverse, equitable, and inclusive team. Through these efforts, we support two primary objectives at InStride Health:

• Providing high quality patient care to families. We are in a privileged position to support families during a vulnerable time in their lives. We approach all families and each other with compassion and are most effective as a diverse team where all individuals feel valued, respected, and accepted.
• Building a mission-driven business that lasts. Specifically, we believe our commitment to a supportive culture improves innovation, decision-making, and efficiency.

We invite you to share any additional information about yourself or your experiences that may not be reflected in your CV. Inclusion of this information is completely voluntary.

Beware of fake job postings and offers. All official communications from InStride Health will come from email addresses ending in @instride.health. We will never ask for personal information such as Social Security numbers or bank details during the application process. If you receive a suspicious job offer or communication, please contact our recruitment team directly ([email protected]) to verify its authenticity.