Team Lead, Licensing and Credentialing

Team Lead, Licensing and Credentialing

Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.

About the Role

The Licensing & Credentialing (L&C) Lead plays a pivotal role in ensuring Ophelia's clinicians are fully licensed, credentialed, and enrolled across multiple states and payors enabling timely patient access and operational excellence. This is a player / coach role : you will handle complex L&C cases while also supporting, mentoring, and providing daily oversight to L&C Specialists. You'll influence process improvements, serve as the SME for internal partners, and help uphold a high-performing, compliant, and patient-centered L&C team. If you are detail-oriented, collaborative, and excited to support and elevate others while driving results, this is a great opportunity to contribute to a critical function at Ophelia.

Key Responsibilities

• Execute licensing, credentialing, and enrollment processes across assigned markets with accuracy, timeliness, and compliance.
• Serve as the primary escalation point for complex or at-risk applications, troubleshooting issues and supporting providers and Specialists.
• Mentor, train, and guide L&C Specialists, providing daily oversight, quality checks, and workload support.
• Maintain accurate documentation, updates, and audit-ready records across all credentialing and workflow systems.
• Identify workflow gaps and recommend improvements to enhance efficiency, accuracy, and scalability of L&C operations.
• Serve as the L&C SME with external partners, including payors, Medicaid agencies, and licensing boards, to reduce delays and resolve escalations.
• Collaborate cross-functionally (Billing and Clinical Ops) to resolve issues, clarify requirements, and drive alignment.
• Support SOP updates, audits, and implementation of new processes as NCQA, CMS, state, and payor requirements evolve.

Qualifications

Our Benefits Include :

Compensation Range

$85,000 - $95,000 USD

Interested in learning more about Ophelia and this role? Apply to work with us!