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Provider Credentialing and Practice Lead

Neko Health· Medical Excellence
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Hybrid (New York), Hybrid (San Francisco)$137k - $167kFull-timePosted 3w ago

About the role

Role responsible for provider credentialing, SOP organization and maintenance, onboarding operationalization, and compliance assurance for US practice operations. Focus on systems and automation to scale credentialing, onboarding and compliance as Neko Health expands.

Responsibilities

  • Run credentialing intake for every new provider joining the PC: application, document collection, and verification at source rather than from candidate-supplied copies.
  • Verify state medical/nursing licenses, board certification, education and training, work history, and DEA registration where the provider's scope requires it.
  • Operate the clear-to-practice gate: no provider is released to see members until the credential file is complete and verified.
  • Maintain the permitted scope by state for each provider and flag to the Head of Compliance any request to practice outside it.
  • Own the expirables calendar for licenses, certifications, DEA registrations, malpractice coverage and any other time-limited credential, driven by automated alerts.
  • Chase renewals ahead of expiry against defined lead times and escalate when a renewal is at risk.
  • Remove clearance to practice immediately when a credential lapses and notify the clinical rota owner and the Head of Compliance the same day.
  • Run the re-verification cycle so credential files do not silently age.
  • Select, implement and administer the tooling that runs practice operations: credentialing records, expiry tracking, onboarding workflow and SOP version control.
  • Replace manual tracking with automated alerts, scheduled reporting and system-driven handoffs, and keep a running list of the steps still done by hand.
  • Define the data structure behind credentialing and onboarding so status can be reported out of the system rather than reconstructed.
  • Work with IT and, where relevant, product and engineering to integrate practice operations data with adjacent systems instead of maintaining parallel spreadsheets.
  • Own the SOP library for US practice operations: create, index, and version every procedure.
  • Review each SOP on a set cycle and update it when a process changes.
  • Retire SOPs that no longer apply, and flag processes that run without one.
  • Keep SOPs easy to find and use for the staff who rely on them day to day.
  • Turn each new provider's onboarding plan into a tracked sequence: credentialing, system access, training, and clearance to start.
  • Own the onboarding timeline from offer to start date, and flag delays before they hit the start date.
  • Coordinate with Talent Acquisition, the People Team, and clinical operations to keep the sequence moving.
  • Improve the onboarding sequence as volume grows, including automation of tracking and reminders.
  • Confirm that US practice operations meet the standards set by the Head of Compliance.
  • Run periodic checks against those standards, and report gaps as they surface.
  • Support audits of practice operations with evidence drawn from SOPs, onboarding records, and the credentialing file.
  • Escalate compliance gaps that need action beyond this role.
  • Keep the credentialing record system accurate and audit-ready, so a credential file can be produced on request without reconstruction.
  • Report credentialing status, upcoming expiries and blocked providers into the Medical Quality reporting cycle, on a set cadence and drawn from the system of record.
  • Improve the credentialing process as volume grows, including automation of tracking and reminders.
  • Prepare the function for payer credentialing and provider enrollment should Neko US move to billing insurance.

Qualifications

  • Experience streamlining clinical or healthcare operations in a tech-enabled environment: you have taken a manual, spreadsheet-run process and rebuilt it as a system-driven workflow, and you can describe what you removed and what changed as a result.
  • Experience working in a clinical operations capacity – where you were responsible for not just executing but building the systems to ensure credentialing, compliance and other clinical operations processes are handled excellently.
  • Confident with operational tooling: you configure and administer the systems you depend on rather than raising a ticket for every change, and you are comfortable working with data, reporting and everyday automation.
  • Direct, hands-on experience of state medical board licensure and clinician credentialing processes, including primary source verification.
  • Experience maintaining a credentialing database or record system to an audit-ready standard.
  • Experience developing, organizing, and maintaining SOPs in a clinical or regulated operations setting.
  • Working knowledge of compliance standards in a healthcare or clinical operations setting, with experience checking operations against them.
  • Precise and persistent administratively

Skills

Required:Credentialing and primary source verificationRegulatory compliance and SOP management

Benefits

  • Paid Time Off & Holidays
  • Medical, Dental, Vision, and Life Insurance
  • 401(k) Retirement Plan
  • Commuter Benefits
  • Wellness Rewards Program
  • Complimentary full Neko scan for you and eligible family members
Last updated Oct 23, 2026. Interested? Apply on the company site.
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