Provider Credentialing Lead

The role

The Provider Credentialing & Licensing Lead designs, develops and oversees onboarding and credentialing for healthcare providers across 50 states and DC. The role manages licensure tracking, quality assurance, stakeholder collaboration and data management for the provider network.

What you will do

• Design and roll out credentialing processes that meet industry standards and regulatory requirements
• Develop and implement efficient credentialing workflows
• Manage the full licensure lifecycle for all providers, including expirations, renewals and primary source verification with state boards
• Oversee collaborative practice and supervision agreements for advanced practice providers
• Implement quality assurance measures and conduct regular audits of credentialing files
• Run recurring reviews of upcoming license and agreement expirations
• Maintain documented procedures for core credentialing workflows
• Work with network development, legal and compliance teams
• Report status to leadership and raise compliance risks early
• Maintain provider credentialing data and generate reports and analytics

Required qualifications

• Bachelor's degree in healthcare administration, business, or a related field
• Minimum of 7 years of experience in provider credentialing or a related healthcare role
• Strong understanding of credentialing standards, regulations and best practices, including state requirements for advanced practice provider supervision
• Hands-on experience with credentialing platforms and primary source verification tools
• Excellent organizational and project management skills with strong documentation habits
• Effective communication and interpersonal skills, including escalating issues to leadership

Nice to have

• Master's degree
• Ideally multi-state telehealth experience
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation

Benefits

• Comprehensive benefits package
• Annual bonus program
• Hybrid work environment

Before you apply

• Recruiters will only contact candidates from an @ww.com email address
• Interviews and offers involve live interaction, not text-only or chat-only exchanges
• The company will never ask candidates for payment

About the company

Weight Watchers is a global weight management company with more than 60 years of experience, offering science-backed programs, coaching and community support. It also serves employers, health plans and payers through Weight Watchers for Business.