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Manager, Licensing & Credentialing

Full-time

Synapticure

About Synapticure Synapticure is the largest, most comprehensive specialty care and life sciences company in the country for those living with neurodegenerative diseases. Founded by patients and caregivers living with these diseases, we are redefining the care and the research paradigm for conditions like Alzheimer's, Parkinson's, and ALS in all 50 states. Our business is powered by two connected engines. The CARES Engine (Clinical Operations) A scalable, 50-state virtualized clinical network providing timely access to expert neurologists and cutting edge treatments with wraparound care coordination and behavioral health support. Our team creates personalized care plans focused on education and empowerment, connecting patients with a multidisciplinary team of subspecialty neurologists, geriatricians, psychologists, and care coordinators who collaborate to deliver comprehensive care. The CURES Engine (Research & Innovation) Leveraging our deeply engaged, well characterized national patient cohort, CURES partners with life science, pharma, biotech, and medical device companies to accelerate the development of neurodegenerative treatments, spanning discovery stage lab services, clinical trial services, and real world evidence data and analytics. Partnering with providers, health plans, and life sciences companies, including CMS' GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases. About the Role We're hiring a Manager, Licensing & Credentialing to lead our licensing, credentialing, and payer enrollment function. You'll combine operational leadership and direct ownership of complex, high-priority licensing and credentialing workflows (including the full provider onboarding and offboarding process and license pathway determinations) with day-to-day leadership of our L&C team. You will ensure providers stay licensed and credentialed as we grow into new states and payer relationships. It's behind-the-scenes work, but it supports every patient in its own way: every license kept current and every enrollment completed on time is what lets a patient see their provider without interruption.

The Day-to-Day Provider Onboarding & Offboarding - Own the full onboarding sequence end-to-end: execute license pathway determinations, perform compact licensure assessments (IMLC/PSYPACT/NLC/APRN), manage start-date sequencing, transcript/employment verification, and COI tracking. - Run sanction/exclusion screening at onboarding and set up DEA registration where applicable. - Own the offboarding and termination process end-to-end: deactivating licenses, payer enrollments, and supervision agreements, notifying payers, and archiving records. Licensing & Credentialing Operations Support - Support and oversee multi-state provider licensing applications and renewals (executed by State Licensing leads), maintaining the Master Licensing Sheet and State Coverage Maps to prevent lapses. - Support and oversee payer enrollment and credentialing across Medicare, Medicaid, and commercial payers (executed by Payer Enrollment leads), including CAQH/Availity management, revalidations, and re-credentialing cycles. - Monitor APP restrictions, practice authority, and state board notifications to ensure ongoing regulatory compliance. - Serve as the go-to escalation point for complex or unusual licensing, credentialing, and billing/care operational questions. Collaboration Agreements & Credentialing Committee - Execute and maintain collaboration/supervision agreement tracking and routine drafting, transitioning toward full operational ownership under the Director's coaching. - Execute Credentialing Committee logistics, managing scheduling, agendas, and documentation while partnering with the Director on committee discussions. - Support payer contracting, denials, and appeals, coordinating with the Director on escalation pathways.

Vacancy posted 4 days ago
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