About the Company
Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America’s largest independent provider of connected care, we deliver a growing portfolio of innovative technologies that help bridge the gap between healthcare providers, individuals, and their care partners. Our easy-to-use solutions support health and safety in a way that leads to enhanced quality of life, earlier interventions, reduced hospitalizations, and peace of mind for an estimated 10 million lives every year. Together, we are enabling independence and redefining the global home healthcare market.
Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA. Learn more at www.connectamerica.com.
Job Overview
Reporting to Director, Compliance & Credentialing, the Credentialing Manager serves as both a player-coach and team manager of the Credentialing & Licensing vertical within the Compliance & Credentialing team. This role is responsible for overseeing day-to-day credentialing, enrollment and licensing activities—including those related to clinical and non-clinical personnel—while directly managing a team of Credentialing Specialists. In addition to completing high-priority or complex work, the Manager drives continuous improvement, supports cross-functional alignment, and ensures consistent, accurate, and compliant credentialing performance across all lines of business.
Job Duties and Responsibilities
Credentialing & Licensing Operations
Oversee and manage all aspects of company credentialing, enrollment and licensing processes for PERS, RPM, and telehealth/triage services in existing and new markets.Maintain accurate and up-to-date records of company, facility, and individual staff licensure, certifications, and credentialing files.Monitor compliance with applicable federal, state, and local licensing regulations, including but not limited to CMS, Department of Health, FCC, FDA, and applicable Medicaid/Medicare requirements.Manage renewals, updates, and filings for all licenses, permits, registrations, and certifications to avoid lapses in active status.Develop and maintain credentialing policies and procedures aligned with industry best practices, regulatory standards, and payer expectations.Partner with Compliance, HR, and Operations teams to support credentialing and licensing of clinical and non-clinical staff as required for provider onboarding, workforce planning, and service delivery (e.g., telehealth nurses, installers, etc.).Team Leadership & Coaching
Serve as a visible, collaborative leader and mentor to Credentialing Specialists.Supervise daily activities and conduct performance coaching and reviews.Provide regular, structured feedback aligned to team goals and company performance standards.Adjust team priorities and capacity based on established deadlines, external requirements, or escalations.Model and foster accountability, professionalism, and a growth-oriented mindset.Credentialing Execution
Personally support or complete credentialing and licensing tasks for high-priority or complex cases, including clinical licensing escalations or provider onboarding delays.Complete, submit, track, and follow up on credentialing and enrollment applications for Medicaid agencies, MCOs, IDNs, and other commercial or government payers.Serve as subject matter expert for multi-state licensing requirements related to clinical staff and remote service delivery.Maintain familiarity with evolving payer and regulatory requirements impacting enrollment or licensure of clinical personnel. Support due diligence for partnerships, acquisitions, or contracts involving licensure or credentialing.Prepare reports and metrics related to licensing status, renewal timelines, and credentialing KPIs.Stakeholder Engagement & Collaboration
Coordinate with sales, operations, and legal teams to assess licensing requirements for new programs, states, or lines of business.Serve as the primary point of contact for regulatory bodies and external auditors related to licensing and credentialing matters.Educate internal stakeholders on credentialing and licensing requirements and timelines, especially during program launches or expansions.Act as the primary contact for cross-functional teams to ensure credentialing milestones align with contract terms, clinical compliance, and implementation timelines.Process Improvement & Compliance
Implement process improvements to streamline credentialing and licensing workflows, improve turnaround times, and ensure data accuracy.Ensure data integrity in credentialing and licensure records across internal platforms (e.g., Salesforce, SharePoint, credentialing platforms).Monitor expiration and renewal cycles and proactively prevent service interruptions due to lapsed licenses or credentials.Promote scalability and standardization across clinical and non-clinical credentialing efforts.
Skills and Qualifications
Bachelor’s degree preferred or equivalent work experience.3+ years of experience in healthcare credentialing, licensing, or provider enrollment required. Certification in Credentialing (e.g., CPCS, CPMSM) is strongly preferred.Minimum 1-2 years in a supervisory, team lead, or player-coach role in a healthcare or payer credentialing department.Demonstrated knowledge of multi-state licensing and payer enrollment processes.Familiarity with Medicaid waiver programs, HCBS requirements, Medicare Advantage/MCO, and state Medicaid credentialing standards.Strong interpersonal, written, and verbal communication skills.Proficiency in Microsoft Office Suite, Salesforce, Adobe Acrobat, credentialing platforms, and portals.Detail-oriented, solutions-driven, and highly organized.Ability to balance team management with individual contributor responsibilities.Occasional travel (less than 10%) for meetings or trainings.