Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
What You’ll Do
The Director, Credentialing oversees the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department to develop and manage Providers for a multi-specialty, telehealth group across 7+ markets. You will:
- Manage staff that process New Provider Onboarding, Credentialing, Licensing, and Enrollment for multi-specialty providers (MD/DO, NP, PA, RN, RD, RPh, LCSW, LMFT, etc.).
- Develop and train on policies and procedures, workflows, and training documentation for the team to support successful day-to-day operations.
- Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.
- Analyze and prepare reports on status and trends in submitted applications, existing Licenses/Enrollments, and expirables for cross-functional leaders.
- Ensure department milestones, projects, deadlines, SLAs and objectives are met; manage team performance against SLAs actively.
- Manage Credentialing Committee including maintenance of Credentialing software and Provider Rosters to comply with Delegation requirements.
What You Bring & How You Qualify
First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve.
You will need:
- At least seven years' experience preferred as a Credentialing, Licensing, and/or Enrollment Specialist.
- At least five years’ experience preferred as a people manager of at least five team members.
- At least five years' experience with Credentialing delegation audits
- Strong knowledge of state Medicaid delegated credentialing requirements
- CPCS (Certified Provider Credentialing Specialist) certification strongly preferred
- Deep NCQA knowledge (5 years of experience) developing and managing credentialing policy and procedures.
- Previous experience managing functions in Verifiable and Athena.
- Have good working knowledge of guidelines and requirements of Licensure and Medicaid across several markets.
- Excellent communication skills with internal stakeholders at variable levels (including Executive Leadership).
- Strong organizational skills.
What We Offer (Benefits + Perks)
The role offers a base salary range of $130,000 - $160,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.
We provide these additional benefits and perks:
- Competitive medical, dental, and vision insurance
- Healthcare and Dependent Care FSA; Company-funded HSA
- 401(k) with 4% match, vested 100% from day one
- Employer-paid short and long-term disability
- Life insurance at 1x annual salary
- 20 days PTO + 10 Company Holidays & 2 Floating Holidays
- Paid new parent leave
- Additional benefits to be detailed in offer
What We Live By
We’re guided by our five core values:
Our Values:
- Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
- Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.
- Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.
- Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.
- One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together.
We Value Diversity, Equity, Inclusion and Belonging
We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
