Provider Operations Associate
United StatesFull-TimeMiddle
Salary55000 - 60000 USD per year
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Job Details
- Experience
- 5+ years
- Required Skills
- EHRData management
Requirements
- Associate Degree in healthcare administration, business, or a related field (or equivalent experience) required
- 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 in a fast-paced environment
- Exceptional attention to detail, communication, and organizational skills
- Proficiency with EHR systems
- Proficiency with Symplr credentialing databases
- Proficiency with data management/reporting tools
- Demonstrated ability to work independently while effectively collaborating across teams and departments
Responsibilities
- Lead and manage all aspects of the provider lifecycle from onboarding through offboarding, ensuring seamless operational execution, compliance, and a best-in-class provider experience.
- Partner with internal stakeholders and external vendors to oversee credentialing, licensing, and enrollment activities, ensuring all regulatory and organizational requirements are met.
- Monitor expirables and drive timely re-credentialing, license renewals, and payer enrollment to maintain continuous provider readiness.
- Own the onboarding experience for new healthcare providers by coordinating documentation, training, credentialing, and systems access to ensure a smooth start.
- Manage provider offboarding processes to ensure proper closure of credentials, system access, and state licensure compliance.
- Serve as the primary liaison between internal teams and credentialing/licensing vendors to track progress, identify bottlenecks, and escalate issues as needed.
- Ensure credentialing and licensing documentation is accurate, up-to-date, and audit-ready at all times.
- Monitor adherence to all relevant regulatory, payer, and accreditation requirements (e.g., NCQA, CMS, state licensing boards).
- Support audits, compliance reviews, and corrective action planning.
- Develop and maintain key operational reports and dashboards, including onboarding progress, credentialing status, compliance tracking, and provider productivity metrics.
- Partner closely with Clinical Operations, People Operations, and Business Operations to ensure alignment across teams.
- Lead or contribute to strategic projects that enhance provider operations infrastructure, systems, and processes.
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