Credentialing & Licensing Specialist

Credentialing & Licensing Specialist

About Us:

Join Ecumen, a leading nonprofit senior living provider committed to advocating for older adults through exceptional housing, compassionate healthcare, and innovative services. With over 160 years of experience, we proudly rank as Minnesota's 8th largest senior living organization. Be part of a team that makes a meaningful impact, supporting our mission to serve older adults, while fostering inclusivity and belonging in everything we do.

Pay:

The targeted pay range for this job is $28.00 - $33.00 per hour. Ecumen considers a variety of factors when determining new hire pay including experience, qualifications, and, when applicable, certifications, licenses, and education.

Benefits:

Ecumen offers a comprehensive benefits package to our full-time team members including medical, dental, vision, flexible spending and health savings accounts, life & disability insurance, paid time off benefits, a generous 6% 401(k) match, and other well-being resources. Learn more at https://www.ecumen.org/find-a-career/benefits/.

We offer a flexible work environment with opportunities to work remotely and occasionally in our Shoreview, Minnesota office as needed.

The Credentialing & Licensing Specialist position is responsible for completing and submitting governmental and commercial payor credentialing applications, managing all operational licenses and maintaining compliance with federal and state regulations. This position is responsible for collaborating closely with internal teams and external stakeholders to secure necessary licenses, compile documentation, conduct research, and maintain accurate records.

Essential Job Responsibilities:

1. Tracks operational licenses for all business lines including maintaining an accurate, complete database/records to track the status of agents, applications, renewals, and forms. Gathers required information from partners and completes and submits applications to the appropriate agencies.

2. Maintains Ecumen entity registrations and annual renewals with Secretaries of State or other regulatory bodies in all states where Ecumen and Ecumen Services operate. Coordinates with applicable agencies to clarify details, correct errors and ensure timely and efficient license acquisition and renewal.

3. Completes complex credentialing applications for governmental and commercial payors; enters and tracks data in internal systems and credentialing databases.

4. Designs and delivers training for internal teams and key stakeholders on licensing procedures, regulatory updates and best practices.

5. Develops and implements policies and procedures for the licensing process to ensure compliance with federal, state, and local regulations.

Credentialing & Licensing Specialist Minimum Required Qualifications:

* High school diploma or equivalent (GED)

* 3+ years of licensing and/or credentialing experience

* Highly organized with exceptional attention to detail

* Ability to work effectively under deadlines and self-manage multiple projects simultaneously

* Strong analytical skills and aptitude

* Ability to communicate effectively in both verbal and written formats with various audiences

* Proficient with Microsoft Office Suite

Preferred Qualifications:

* Associate's degree in Business, Accounting, or Healthcare related field