Credentialing, Licensing and Privileging Manager

 Posted a month ago
     
5-10 years experience
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AI Summary

The manager will oversee the full lifecycle of physician credentialing, licensing, and privileging across multiple states and facilities. They are responsible for ensuring regulatory compliance, managing hospital relationships, and implementing scalable operational workflows to support organizational growth.

What we’re about

Harrison.ai Services, in partnership with Frontier Radiology, is redefining how radiology is delivered by combining leading Radiologists with cutting-edge AI infrastructure to provide consistent, high-quality diagnostic imaging for hospitals, health systems, and their patients.

As a management services organization, we don’t just deliver reads, we build the intelligent, scalable infrastructure that empowers radiologists and healthcare providers to thrive together, as part of Harrison.ai’s broader mission to transform global healthcare through AI-driven solutions.

And we’re just getting started.

About Your Role

This role combines credentialing, licensing, and privileging across hospitals, practices, and states. Ownership of each domain below includes responsibility for building, scaling, and/or sustaining a functional system, with hands-on involvement during early development and the ability to delegate execution as the system matures. This is a pivotal role in ensures we can safely, compliantly, and efficiently deliver radiology services as the practice scales.

What You Do:

Credentialing, Licensing & Privileging (Core Accountability)

  • Own the full lifecycle of physician credentialing for Frontier Radiology, including initial credentialing, recredentialing, expedited onboarding, and ongoing monitoring

  • Manage multi-state medical licensure processes, including IMLC applications, renewals, verifications, and lapse prevention

  • Oversee collection, primary source verification, and maintenance of all required physician credentials, including:

    • Medical education and training

    • Board certification (ABR)

    • DEA, NPI, Medicare/Medicaid enrollment

    • CME compliance

    • Malpractice insurance and claims history

    • Manage hospital, facility, and practice privileging processes, including applications, renewals, and reappointments

    • Serve as the primary liaison with hospital medical staff offices, credentialing committees

    • Ensure all credentialing and privileging files are complete, accurate, and audit-ready

    • Maintain FCVS and CAQH records at scale

    • Lead delegated credentialing arrangements with hospitals, including audits and annual oversight

Compliance, Risk & Governance

  • Ensure compliance with federal, state, and local regulations and credentialing standards (NCQA, Joint Commission, hospital bylaws) related to physician employment, credentialing, and clinical service delivery

  • Proactively identify and mitigate credentialing, licensing, or privileging risks that could impact patient care or contractual obligations

  • Prepare for and support internal and external audits, and lead Joint Commission accreditation activities — readiness, evidence preparation, mock surveys, and ongoing standards compliance

  • Develop, document, and maintain scalable credentialing policies, SOPs, and controls as Frontier Radiology grows

  • Monitor OIG, SAM, NPDB, and state sanction databases on required cadences

Operational Enablement & Scale

  • Partner with Operations, Medical Leadership, MSO partners, and engineering/data teams to automate, streamline, and continuously improve credentialing workflows and reduce manual touchpoints

  • Implement and maintain tracking systems and dashboards, and report KPIs — time-to-credential, time-to-privilege, expirables compliance, and reappointments

  • Support expansion into new states, hospitals, and contracts by ensuring credentialing and licensing readiness

  • Contribute to continuous improvement of physician workforce processes as Frontier Radiology scales

What You Bring:

Experience

  • 5+ years’ experience in credentialing roles within healthcare environments

  • Demonstrated ownership of physician credentialing, licensing, and privileging processes across multiple states and facilities

  • Experience supporting or partnering with medical leadership and physician groups

  • Proven ability to manage complex, compliance-driven operational workflows

  • Direct experience with IMLC, FCVS and CAQH at scale

  • Experience with delegated credentialing and NCQA standards

Knowledge & Skills

  • Strong understanding of US physician credentialing, privileging, and regulatory frameworks (CMS, NCQA, Joint Commission, hospital bylaws)

  • Working knowledge of multi-state licensure management and teleradiology-specific compliance considerations

  • Understanding of physician employment and contracting models (W2, 1099, locums, MSO-supported)

  • Strong organizational skills with exceptional attention to detail

  • Excellent stakeholder management and communication skills

Preferred

  • Experience in teleradiology, MSO environments, or multi-site physician practices

  • Exposure to credentialing systems (e.g., MD-Staff, symplr, or similar)

  • CPCS, CPMSM credentialing certification

Why join us?

🌍 Innovate for Global Good. Join us to pioneer world-first AI technology that transforms patient outcomes and helps build a healthier, fairer world.

🤝 Collaboration Across Continents. Work with brilliant minds from every corner of the globe in a culture built on trust, autonomy, and genuine teamwork.

🚀 Well-Funded & Global. Backed by world-class investors including Aware Super, Blackbird Ventures, Skip Capital, and Horizons Ventures, we’ve raised over US$240M to accelerate our global impact.

🌱 Scale Your Potential. Tap into yearly L&D budgets, mentoring, hackathons, and secondments—all supported by a transparent growth framework to grow your career.

💻Flex for Life. Work when and where you do your best—with WFH options, flexible hours, and the autonomy to make an impact your way.

🙌 Support for Every Family Journey. From fertility to parenthood, loss, and even grandparenthood—we provide inclusive, thoughtful policies to support families in every stage.

What's next?

If you’re inspired by what we're up to, please apply now and we'll be in touch soon.

We are proud to be an Equal Opportunity Employer. Diversity’s not a buzzword here, it’s in our DNA. Diverse perspectives shape our culture and make our work better. We’re committed to building inclusive teams that represent a variety of backgrounds and skills. We look forward to hearing from you.

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