Senior Provider Operations Associate

Associate Degree in healthcare administration, business, or related field (or equivalent experience); Bachelor's degree preferred. 5+ years of experience in provider operations, credentialing, licensing, or healthcare administration. Strong working knowledge of healthcare compliance and regulatory standards (e.g., NCQA, CMS, payer enrollment). Proven ability to manage complex workflows and prioritize competing tasks. Exceptional attention to detail, communication, and organizational skills. Proficiency with EHR systems, Symplr credentialing databases, and data management/reporting tools. Demonstrated ability to work independently while collaborating effectively across teams.

Lead and manage all aspects of the provider lifecycle (onboarding to offboarding). Oversee credentialing, licensing, and enrollment activities with internal stakeholders and vendors. Monitor expirables and drive timely re-credentialing and license renewals. Own the onboarding experience for new healthcare providers. Manage provider offboarding processes. Serve as the primary liaison for credentialing/licensing vendors. Ensure credentialing and licensing documentation is accurate and audit-ready. Monitor adherence to regulatory, payer, and accreditation requirements. Support audits, compliance reviews, and corrective action planning. Contribute to process improvement initiatives. Develop and maintain operational reports and dashboards. Identify trends and provide insights for process improvement. Partner closely with Clinical Operations, People Operations, and Business Operations. Act as a subject-matter expert on provider operations. Lead or contribute to strategic projects for provider operations.