A position responsible for managing the initial onboarding and licensing functions for all new TOA providers, including physicians, advanced practice providers (APPs), and rehabilitation providers (PT/OT). This role ensures timely completion of licensure, malpractice enrollment, CAQH verification, and compliance requirements. The Provider Onboarding & Licensing Specialist manages license renewals, DEA renewals, CME compliance, and maintains accurate provider profiles in the credentialing database. This position plays a critical role in ensuring new providers can practice without delay and that existing providers remain in continuous compliance.

Responsibilities

• Coordinates the onboarding of all new providers, including physicians, mid-level providers, and PT/OT staff.
• Assists providers with obtaining Tennessee state licenses, including submission of applications and tracking of progress.
• Initiates malpractice carrier enrollment for new providers; ensures coverage is in place prior to practice start.
• Builds and maintains provider profiles in the centralized credentialing database (CMD).
• Performs and documents 90-day CAQH re-attestations for all providers to maintain payer and compliance requirements.
• Builds new provider NPPEs (National Provider Profile Enrollment System) sites as part of onboarding.
• Manages provider license renewals, DEA renewals, and submission of primary applications to state and federal agencies.
• Tracks and manages CME requirements for each provider; ensures compliance with CME requirements for licensing and DEA renewal.
• Provides reporting on license/DEA renewal timelines, CME completion status, and CAQH re-attestation compliance.
• Serves as a primary resource for providers regarding onboarding, licensing, and CME compliance.
• Coordinates with credentialing, compliance, and payer enrollment teams to ensure alignment of provider information.
• Performs other duties as assigned to support provider onboarding and compliance.

Education: High school diploma or equivalent required. Associate’s or Bachelor’s degree in healthcare administration or related field preferred not required.

Experience: Minimum 3–5 years of experience in provider onboarding, licensing, or credentialing. Experience with CAQH, DEA renewals, and state licensure processes required. Familiarity with CMD or similar credentialing database strongly preferred.

Skills & Competencies: Strong knowledge of state licensure, DEA, CAQH, and CME compliance requirements. Excellent organizational skills and attention to detail, with ability to track multiple providers’ deadlines simultaneously. Strong communication skills to interface effectively with providers, licensing boards, malpractice carriers, and internal teams. Proficiency with credentialing/CAQH systems and Microsoft Office Suite. Ability to work independently and handle sensitive compliance information.