Manager, Licensing & Credentialing

Requirements

• 5+ years of experience in credentialing, provider enrollment, licensing, network development, or related healthcare operations
• 2+ years of people leadership or team management experience preferred
• Strong understanding of provider credentialing, licensing, and payor enrollment operations
• Experience working with commercial and government payors, including Medicaid and Medicare
• Experience improving workflows through technology, automation, or systems optimization
• Interest in leveraging AI-enabled solutions to improve operational scalability and efficiency
• Strong organizational, problem-solving, and communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Consistently demonstrates Boulder's core values
• Supervisory Responsibility
• Create an environment where people feel supported, challenged, and set up to succeed
• Lead with consistency, transparency, and accountability
• Invest in developing others, not just managing tasks
• Show up with curiosity, ownership, and a bias toward solving problems
• Work Environment
• This is a fully remote role but we

Benefits

Additional Information

About Boulder Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care. We provide Boulder patients with a fully virtual, multidisciplinary care team-including medical providers and peer recovery specialists-who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most. Named by Fortune as one of the Best Workplaces in Healthcare, we foster a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward. About This Role The Manager of Licensing & Credentialing leads the operations that ensure Boulder providers are fully licensed, credentialed, and enrolled to deliver care without interruption. This role oversees provider licensing, credentialing, and payor enrollment operations while leading a high-performing team and driving scalable, technology-forward processes. The ideal candidate brings strong operational leadership, sound judgment, and a continuous improvement mindset, with an interest in leveraging automation and AI-enabled solutions to improve efficiency, accuracy, and provider experience. Team Leadership & Management - 30% Lead, coach, and develop the Licensing & Credentialing team through mentorship, feedback, and performance management Establish clear priorities, goals, and accountability across the team Foster a culture grounded in collaboration, ownership, and continuous improvement Monitor workload and team capacity to ensure timely and accurate execution Serve as an escalation point for operational issues and cross-functional coordination Build and maintain clear documentation, workflows, and team best practices Licensing, Credentialing & Payor Enrollment Operations - 50% Oversee end-to-end provider licensing, credentialing, re-credentialing, and payor enrollment processes across commercial and government payors Ensure providers are fully credentialed, licensed, and enrolled in alignment with onboarding timelines and operational needs Manage state licenses, DEA registrations, controlled substance certifications, and related renewals Ensure provider records, applications, and supporting documentation are accurate, complete, and maintained appropriately Track application progress and proactively address delays, risks, and operational bottlenecks Maintain strong relationships with payors, credentialing entities, and regulatory agencies Partner cross-functionally with Revenue Operations, Clinical Operations, Compliance, and other stakeholders to support provider readiness and revenue cycle performance Ensure compliance with organizational standards and applicable regulatory requirements Technology, Systems & Operational Scale - 20% Lead the evolution of credentialing and licensing operations through technology, automation, and AI-enabled solutions Identify opportunities to reduce manual work, improve accuracy, and accelerate provider onboarding timelines Partner cross-functionally with teams (e.g. HR, Finance, Payer Partnerships, Clinical Operations) to implement scalable systems and workflow improvements Evaluate and optimize credentialing platforms, tracking systems, reporting tools, and operational dashboards Use operational data and performance insights to improve visibility, identify trends, and drive continuous improvement

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