Provider Licensing Specialist
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
Boulder Care is seeking a Provider Licensing Specialist to join the Finance team. You will have the opportunity to oversee Boulder's comprehensive licensing process by managing documentation, collaborating with clinicians, and tracking timelines to ensure all Care Team members maintain the necessary credentials and contracts for regulatory compliance, while also providing secondary support for payor credentialing needs as required.
What You'll Do
Essential Functions - 70%
- Assisting with obtaining needed documentation from providers, such as copies of state licenses, IRS documents, NPI Notification forms, DEA numbers, board certifications, malpractice certificate of insurance, etc.
- Applying for or assisting providers with applications for provider state licenses, DEA certifications and state controlled substance certifications; recertify as needed.
- Assisting with new provider onboarding
- Tracking progress of outstanding applications to completion and reporting progress to the Revenue Operations team and leadership
- Resolving licensing issues through collaboration with management, senior team members, providers, and others as identified
- Maintaining provider records as they pertain to licensing and credentialing through the approved platform
Provider Credentialing - 20%
- Completing and submitting credentialing and re-credentialing applications with all payors accurately and in a timely manner; Ensuring submission deadlines are met and submission documentation is maintained appropriately
- Building and maintaining strong relationships with the payor communities, including the government payor community (Medicaid, Medicare, VA, etc)
Administrative - 10%
- Attending meetings, and other duties as assigned or required
What You Bring
- At least 2+ years of professional experience with a healthcare provider within relevant department (licensing, contracting or credentialing)
- Relevant experience with state licensing applications and/or web sites
- Demonstrated understanding of how provider licensing and credentialing impacts billing, contracts, and revenue management/collections
- At least 1 year of remote work experience
- Experience with state board licensing for nurse practitioners (strongly preferred)
- Understands medical terminology, procedure codes and diagnosis codes as it applies to payor contracts
- Substantial organizational skills, including multitasking and time-management
- Reliable customer service, follow-up, and communication skills
- Ability to work effectively both independently and as part of a team
- Team-focused; effective collaboration. Serves both the team and the customer at a consistently high level
- Strong critical thinking, problem-solving abilities, and attention to detail
- Demonstrates high ethical standards of behavior
- Maintains composure under pressure
- Regularly demonstrates Boulder’s core values
Nice To Have (but not required)
- Multiple state experience
- Telehealth experience
- MODIO experience
Work Environment
- This is a fully remote role but we are currently only hiring candidates located in the following states: STATES LIST.
- Changes to working location require pre-approval from People Operations and are not guaranteed.
- Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
- Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
- Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like
Expected Hours
This is a full-time remote position expected to work 40 hours between Monday-Friday during standard business hours.
Hiring Process
Note: As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references. By applying, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references. We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required.
Compensation
The starting pay range for this position is $23-26/hour; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).
Perks and Benefits
- Contribute to meaningful, life-saving work!
- Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
- Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
- Supplemental mental health services through Talkspace for care needed following tough patient visits
- 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
- Sick leave accrued at 1 hr for every 30 hrs paid
- 9 Paid Holidays per year
- 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
- 401(k) retirement savings
- Remote friendly with hardware provided to complete your work duties
Our Values
- The people we care for always come first
- Our opportunity is also our duty, in service to others
- Share facts to change minds, instill empathy to change hearts
- Move the industry forward: follow the data
- Strong individuals, stronger together
- Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply.
Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!
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