Credentialing and Compliance Manager

2 weeks ago

Nashville, Tennessee, United States Thyme Care Full time
Job Overview

OUR PURPOSE

Envision a healthcare experience for cancer patients where they and their families feel acknowledged, supported, and understood by their healthcare team, both within and outside clinical settings. A scenario where swift access to premium care is standard, not an exception. Where patients benefit from a care navigator who assists them throughout their diagnosis and provides trusted support every step of the way.

At Thyme Care, we are dedicated to enhancing the cancer care journey—not only for our members but also for their caregivers and loved ones, as well as those who provide and finance their care. Currently, Thyme Care is recognized primarily as a cancer care navigation entity facilitating value-based cancer care; in the upcoming years, we aim to evolve into a nationally acknowledged technology-driven and provider-focused care delivery model, transforming the landscape of cancer care accessibility, delivery, and experience. Our commitment is profound—we are not content with the current state but are determined to redefine it.

To achieve this vision, we are assembling a diverse team of innovative thinkers and problem solvers to drive progress and shape the future of healthcare. If you resonate with our mission and aspire to be part of something truly impactful, we invite you to connect with us. Together, we can revolutionize cancer care and create lasting change.

YOUR RESPONSIBILITIES

The Manager of Licensing and Credentialing will oversee the licensure and credentialing processes for our medical professionals and nursing staff to ensure adherence to state and federal regulations. You will be responsible for enhancing our foundational licensing and credentialing operations, which include:

  • Completing, submitting, and following up on new licensure applications for providers and nurses, including verification of training, education, certifications, and more.
  • Monitoring and executing licensing and credentialing renewals for providers and nurses, ensuring all licenses and credentials remain current and compliant with regulatory standards, including post-license actions and CME tracking.
  • Engaging with licensing boards, credentialing organizations, and healthcare providers to address any issues or discrepancies in their documentation.
  • Developing and refining our internal licensing and credentialing processes, including tracking, monitoring, communication pathways, and documentation.
  • Coordinating with local vendors to support the licensing process, such as mobile notary services and fingerprinting services.
  • Collaborating closely with Thyme Care's Clinical Compliance and Care Delivery leaders to ensure compliance with all applicable regulations.
  • Partnering with our physician, APP, and nursing teams to create a seamless internal process.

This role will initially involve both being a subject matter expert in licensing and credentialing as well as executing these functions. You should be comfortable transitioning between independent work, engaging with external parties such as state medical boards, and collaborating with provider and nursing teams. You will report to our Director of Care Delivery and work cross-functionally with our Legal & Compliance, Care Delivery, and People teams.

AFTER YOUR INITIAL PERIOD, YOU WILL:

  • Have a comprehensive understanding of the licensed roles within Thyme Care and demonstrate mastery in executing each.
  • Establish a scalable, compliant framework for our licensing and credentialing functions, including evaluating internal and external tools.
  • Independently lead and manage the day-to-day operations of licensing and credentialing.
  • Contribute to the development and enhancement of SOPs related to physician and nursing licensure.
  • Foster strong, trusting relationships with your team, grounded in listening and empathy.
  • Encourage a culture of growth mindset, continuous learning, and service excellence.

KEY SUCCESS FACTORS

Your background and experience reflect:

  • A minimum of 3-5 years in a leadership role within a licensing and credentialing function (required).
  • At least 5 years of experience in a Series A-C healthcare startup (required).
  • Experience in building, scaling, and strategizing for a licensing and credentialing function.
  • Prior experience managing licensure for physicians, nurses, and nurse practitioners, including familiarity with IMLC, Nurse Compacts, CAQH, and FCVS.

Action-oriented mindset: You are proactive and capable of identifying and prioritizing needs, ensuring that urgent and important matters are addressed promptly.

Attention to detail: You are committed to operational excellence and understand the significance of precision and accuracy in the licensing process, striving to create a high-touch, communicative, and efficient experience for our licensed team members.

Embracing diverse perspectives: You are open-minded and actively seek feedback from others, always looking to learn and grow. You approach leadership with curiosity and collaboration, beginning by listening to others to build rapport and strong working relationships.

Comfort with ambiguity: You have a proven history of success in scaling businesses, fast-paced environments, and/or startups, recognizing that rapid changes in business, strategy, organization, and priorities are common.

Operational mindset: You can break down tasks into actionable steps and execute plans effectively, surfacing obstacles and pivoting based on real-time feedback as necessary.

OUR CORE VALUES

At Thyme Care, our core values—Act with our members in mind, Move with purpose, and Seek diverse perspectives—guide our actions and decisions. They inform our growth strategies, product development, and the choices we make.

We are dedicated to promoting the health and well-being of all individuals. As a provider of cancer care navigation, we acknowledge that those affected by cancer represent a vulnerable population at risk of health challenges. Therefore, Thyme Care employees are expected to be fully vaccinated against COVID-19 as defined by the Centers for Disease Control and Prevention, subject to applicable laws and exemptions for medical or religious reasons.

Our compensation ranges are designed to be competitive within our industry and are part of a comprehensive package that includes equity, benefits, and additional opportunities at Thyme Care. Individual salary decisions consider various factors, including qualifications, experience, skillset, geography, and internal equity among Thyme Care employees.

We recognize the historical inequalities in healthcare and are committed to challenging the status quo, fostering a culture of inclusion through the care we provide and the organization we build. We celebrate diverse perspectives that reflect our members and the communities we serve. We are an equal-opportunity employer.

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