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Licensure & Operations Coordinator

Remote, USA

Twin Health 

At Twin Health, we empower people to reverse, prevent and improve chronic metabolic diseases. Twin Health invented The Whole Body Digital Twin™ , a dynamic representation of each individual’s unique metabolism, built from thousands of data points collected daily via non-invasive sensors and self-reported preferences. The Whole Body Digital Twin delivers a new standard of care, empowering physicians and patients to make personalized data-driven decisions. 

Working here  

Our team is passionate, talented, and driven by our purpose to improve the health and happiness of our members. Our culture empowers each Twin to do what’s needed to create impact for our members, partners, and our company, and enjoy their experience at work. Twin Health was awarded Innovator of the Year by Employer Health Innovation Roundtable (EHIR) (out of 358 companies), named to the 2021 CB Insights Digital Health 150, and recognized by Built In's 2022 Best Places To Work Awards. Twin Health has the backing of leading venture capital funds including ICONIQ Growth, Sequoia, and Sofina, enabling us to scale services in the U.S. and globally and help solve the global chronic metabolic disease health crisis. We have recently announced broad and growing partnerships with premier employers, such as Blackstone and Berkshire Hathaway. We are building the company you always wished you worked for. Join us in revolutionizing healthcare and building the most impactful digital health company in the world!

Excited to join us and do your part in improving people’s health and happiness?

Opportunity 

Twin Teammates of the Clinical Delivery Services & Management team make a difference at Twin by playing a critical role in supporting the licensure & credentialing operations structure and coordinating with our clinical team for efficient, effective and streamlined optimal care for our members.

Reporting directly to the Sr. Coordinator of Licensure and Credentialing, the Licensure Coordinator will join the organization at a pivotal time in its growth track. 

Clinical Delivery Services & Management is a key role within the Clinical Operations department to problem solve, translate and liaison various operational initiatives on behalf of the Clinical Care Team so they can provide exceptional care to our members on their metabolic healing journey as we support the business in driving member outcomes, growth and economics. 

Key Metrics

  • Licensure Onboarding Process
  • Credentialing Onboarding Process
  • System Utilization & Optimization 
  • Licensure renewals 
  • Licensure timeliness
  • Budget (licenses)

The Role

Working in partnership with the Clinical Delivery Management department,  the licensure coordinator will work on a diverse scope and manage operational initiatives to deliver results​. This role requires a detail-oriented individual who can navigate complex telemedicine regulatory landscapes and contribute to the success of our innovative healthcare solutions.

  • Licensing Management, Initial, Maintenance, and Renewals
  • Health Plan Credentialing 
  • Compliance Collaboration
  • Reporting & Monitoring 

Responsibilities

As a Licensing Coordinator, you will be responsible for overseeing the comprehensive licensing process and health plan credentialing to support our dynamic team. The ideal candidate will have a keen understanding of state and federal regulations, exceptional organizational skills, and the ability to collaborate effectively with internal stakeholders and external vendors.

Licensing Management:

  • Navigate and monitor the renewal and maintenance of healthcare professional licenses across all states and the District of Columbia.
  • Maintain a comprehensive database of licensing requirements, expiration dates, and renewal processes for each jurisdiction.
  • Ensure timely submission of license renewals, tracking expiration dates, and coordinating with relevant authorities to resolve any issues.
  • Utilize internal platforms for tracking and monitoring the licensing status across different jurisdictions.
  • Provide support in the licensing process by obtaining and submitting Verifications and Peer references from Twin Health.  
  • Support all tracking of continuing medical education requirements by state and license type and by individual
  • Maximize timeliness and meeting of deadlines to avoid late fees, gaps in licensure, and inefficiencies
  • Support and establish the Collaboration/Supervision Relationships for incoming providers and any for new licenses  obtained requiring the relationship in order to practice. 

Health Plan Credentialing:

  • Assist in management of the credentialing process for healthcare providers with various health plans.
  • Collaborate with internal teams to collect and organize required credentialing documents and information.
  • Work closely with health plans to ensure the timely and accurate completion of credentialing processes.
  • Timely submission of New Payer requests and tracking their status on All platforms
  • Maintain and assist providers with their CAQH profiles.    

Compliance Collaboration

  • Stay informed about changes in licensing requirements and regulations to ensure ongoing compliance.
  • Stay informed about changes in licensing and credentialing regulations across states and the District of Columbia.
  • Ensure that the organization adheres to all regulatory requirements and standards related to licensing and credentialing.
  • Develop and implement policies and procedures to enhance compliance and efficiency in licensing and credentialing processes.
  • Develop and implement processes to monitor ongoing compliance with licensing and credentialing requirements.
  • Conduct regular audits to ensure that all documentation and processes meet regulatory standards.
  • Support care team onboarding and off boarding actionable

Communication and Collaboration:

  • Liaise with healthcare professionals, internal teams, and external agencies to address inquiries related to licensing and credentialing.
  • Collaborate with legal and compliance teams to address any legal or regulatory issues related to licensing and credentialing.

Reporting and Analysis:

  • Generate regular reports on the status of license renewals, credentialing activities, and potential areas for improvement.
  • Analyze and maintain data to identify trends, timelines,  areas for improvement, and opportunities to streamline processes.
  • Support reporting and analysis for regionalization work and optimization of licensure and geography
  • Tracking the licenses status, RX authorizations, and Supervision Collaborations in SF and do regular audits to make sure the data is up-to-date
  • Maintain the data migration of Renewals and New Licenses to the CE Platform.
  • Additional duties as assigned

Qualifications

  • Bachelor's degree in Healthcare Administration, Business
  • Must have 2+ years of proven experience in healthcare licensing and credentialing, preferably in a telemedicine or healthcare technology or equivalent education and experience. 
  • In-depth knowledge of state-specific licensing requirements and health plan credentialing processes.
  • Familiarity with relevant healthcare regulations and compliance standards
  • Ability to communicate and work across client organizations, engaging on a range of tactical and strategic issues, with senior executives as well as execution teams
  • Exceptionally strong project management skills, with demonstrated organizational skills, high attention to detail and ability to balance between thoughtful planning and timely execution
  • Ability to manage conflicting priorities and thrive in a fast-paced environment working under time constraints to manage all changes that come with a rapidly expanding organization in a high growth environment
  • Proficiency with Google applications and with PM tools, such as Monday.com, and MS Project
  • Can engage providers at all levels (CMOs, MDs, Medical Directors, Advanced Practitioners, care managers) and instill trust and inspire for transformation
  • This remote opportunity is available to US based persons. 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.

Compensation and Benefits  

The compensation range for this position is $50,000-$55,000 annually. 

In addition, Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

  • A competitive compensation package in line with leading technology companies
  • As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments.
  • Opportunity for equity participation 
  • Unlimited vacation with manager approval
  • 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
  • 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
  • 401k retirement savings plan

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