Credentialing & Licensing Manager

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    "createdOn": "2026-06-04T06:39:42.609000-07:00",
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    "companyName": "Zivian Health, Inc.",
    "description": {
      "role": "<meta><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:12pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">Who You Are:</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">You’re a credentialing expert who thinks strategically and executes with precision. You understand the complexities of NCQA credentialing and payor enrollment inside and out, and you’re excited by the opportunity to redesign and elevate how credentialing works at a fast-growing healthtech company. You thrive at the intersection of operations, technology, and compliance—and you’re energized by building scalable systems, not just maintaining them. You’re a natural collaborator who can work cross-functionally with Product and Operations teams while also leading and developing a team of your own.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br><br><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">What you'll do: </strong></b><br><br><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Strategic Leadership &amp; Program Design</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Own the vision and roadmap for credentialing and licensing at Zivian, transforming the function from transactional to a strategic driver of provider success and organizational growth.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Redesign and rebuild credentialing workflows end-to-end—identifying gaps, eliminating bottlenecks, and implementing scalable, best-in-class processes.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Serve as Zivian’s internal subject matter expert on NCQA credentialing standards, payor enrollment requirements, and state licensing regulations.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Partner closely with Product to shape and inform the credentialing and licensing features of Zivian’s software platform, translating operational needs into product requirements.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Collaborate with the broader Operations team to ensure credentialing workflows integrate seamlessly with provider onboarding, engagement, and compliance processes.</span></li></ul><h2 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:28pt;font-weight:600;letter-spacing:0.5px;margin-top:18px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Credentialing &amp; Licensing Operations</strong></b></h2><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Oversee end-to-end credentialing processes for providers, including initial credentialing, re-credentialing, and payor enrollment.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Ensure compliance with NCQA guidelines, CMS requirements, state licensing regulations, and payor-specific credentialing standards.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Manage and monitor expirable tracking for licenses, certifications, and accreditations—ensuring proactive renewals with no lapses.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Maintain accurate, complete, and audit-ready credentialing files in compliance with HIPAA and applicable privacy regulations.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Lead, manage, and develop a team of Licensing Specialists, fostering a high-performance culture rooted in quality, accountability, and continuous improvement.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Build and maintain SOPs and process documentation to standardize credentialing operations across the team.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Leverage credentialing systems and databases to ensure data integrity and generate reports for leadership and external stakeholders.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Identify systemic process gaps and implement documented improvements to accelerate speed and reduce error rates.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br><br><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">What You’ll Bring:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">5+ years of experience in credentialing, medical staff services, or provider enrollment, with at least 2 years in a management or team lead role.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Deep, hands-on knowledge of NCQA credentialing standards and payor credentialing/enrollment processes—this is a must.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Proven ability to lead, develop, and hold accountable a team of credentialing professionals.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">A builder’s mindset: you’re not just here to maintain the status quo, but to redesign and improve how credentialing works.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Strong cross-functional collaboration skills—you can work effectively with Product, Operations, and external stakeholders alike.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Excellent organizational skills and ruthless attention to detail; you don’t let things fall through the cracks.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Comfort with technology and credentialing systems; ability to quickly learn and adapt to new platforms.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Strong written and verbal communication skills—you can translate complex regulatory requirements into clear, actionable guidance.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Ability to balance strategic thinking with hands-on execution in a fast-paced, startup environment.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Bachelor’s degree in Healthcare Administration, Business, or a related field preferred; CPCS or CPMSM certification a plus.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:12pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br><br><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">Where You’ll Be:</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">We offer flexibility in your work location! For this role, you just need to be based within the US, allowing you to work where you feel most productive.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><h4 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:18pt;font-weight:600;letter-spacing:0px;margin-top:12px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">Our Core Values:&nbsp;</strong></b></h4><ol data-pattern=\"deciLoAlphaLoRom\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:decimal;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Build with Intention:&nbsp;</strong></b></li><li style=\"font-size:11pt;list-style:none;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><ul data-pattern=\"discCircleSquare\" data-depth=\"2\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin-left:0px;margin-right:0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:circle;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">We stay focused on the work that matters most. No chasing shiny objects. We choose our priorities carefully and follow through with purpose and discipline.</span></li></ul></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Trust and Be Trusted:&nbsp;</strong></b></li><li style=\"font-size:11pt;list-style:none;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><ul data-pattern=\"discCircleSquare\" data-depth=\"2\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin-left:0px;margin-right:0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:circle;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">We earn trust by being obsessed with our customers’ problems. We listen, we move fast, and we do what we say we’re going to do, every time.</span></li></ul></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Lift as we climb:</strong></b></li><li style=\"font-size:11pt;list-style:none;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:start;\"><ul data-pattern=\"discCircleSquare\" data-depth=\"2\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin-left:0px;margin-right:0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:circle;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">We show up for each other. We share context, lend a hand, and celebrate wins. When we lift the people around us, we elevate what’s possible for all of us.</span></li></ul></li></ol><h1 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:36pt;font-weight:600;letter-spacing:1px;margin-top:24px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"color:rgb(0,0,0);font-size:12pt;white-space:pre-wrap;\">What Zivian Has for You:</strong></b></h1><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">A dynamic, diverse, and collaborative work environment.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Fast-paced startup culture full of growth-minded colleagues.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">A distributed team with opportunities for in-person collaboration.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Employee equity pool.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Competitive compensation and benefits package.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">A supportive, non-competitive work environment where the team truly cares about one another.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Opportunities for continuous learning and professional growth.</span></li><li style=\"color:rgb(0,0,0);font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Flexibility in work location.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">At Zivian, we live by the value </span><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Trust and be Trusted</strong></b><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">. To protect the integrity of our team and the sensitive data of our healthcare partners, we maintain a rigorous verification process. Zivian participates in </span><b><strong style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">E-Verify</strong></b><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\"> and utilizes advanced background and identity validation tools for all candidates. Please note that providing fraudulent information or misrepresenting your identity at any stage of the application process is grounds for immediate disqualification.  </span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;text-align:start;\"><br></p>",
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