Licensing & Credentialing Specialist

Role: Licensing & Credentialing Specialist

Location: Bangalore

InCommon is managing the hiring process for this role.

About the company and the role:

We're helping a US-based healthtech company build its founding India engineering team. The company is focused on improving care for low-income patients with complex needs — blending in-person, virtual, and 24/7 care with their own tech and care teams. They partner with community providers and health plans to deliver primary, behavioral, and social care as a seamless experience.

This role is core to that mission — leading a growing engineering team to build high-impact systems that rewire healthcare delivery through AI and thoughtful technology.

About the role:

As the Medical Licensing & Credentialing Specialist at Accompany Health, you will

work under the supervision of the Practice Manager, completing the licensing and

credentialing functions of all AH medical personnel.

In this role, you will combine people leadership, operational excellence, and deep

licensing and credentialing subject matter expertise. Your organization, ability to thrive

in a fast-paced environment and keen problem solving skills will ensure your success.

Desired skills and experience:

Required

• Bachelor's degree or 2+ years of experience in relevant field
• Experience working with a variety of provider types,MD/DO/PA/NP/Behavioral Health/Nurses
• 1+ year of of full-time experience in medical licensing, medical regulations or credentialing
• Strong operational acumen and experience managing high-complexity
• workflows

Responsibilities will include:

Core Licensing Responsibilities

• Prepare and submit state medical license applications and renewals
• Track expiration dates for licenses, DEA (prescribing) registrations, CSR
• (controlled substances) permits, board certifications, and malpractice
• insurance
• Maintain provider licensing records and documentation
• Coordinate with state medical boards and regulatory agencies
• Ensure providers meet state and federal compliance requirements
• Research licensing requirements for new states or specialties

Credential Responsibilities

• Complete provider credentialing and re-credentialing applications
• Maintain CAQH profiles and attestations
• Verify provider qualifications, education, training, work history and
• references
• Conduct primary source verification for licenses, certifications and
• sanctions
• Monitor exclusion databases such as OIG and SAM

Payer Enrollment Duties

• Enroll providers with Medicare, Medicaid and managed care
• organizations
• Track payer application status and follow up on pending enrollments
• Update payer records for demographic or practices changes
• Resolve enrollment delays and denials

Compliance & Auditing

• Maintain compliance with NCQA, CMS, Joint Commission, and state
• requirements
• Ensure credentialing files are complete and audit friendly
• Develop or maintain credentialing policies and SOPs
• Review applications and other required confidential documents for
• completeness and accuracy