Provider Operations Associate / Lead
New
Remote work flexibility within the United States.Full-TimeMiddle
Salary60,000 - 85,000 USD per year
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Job Details
- Experience
- 3+ years of professional experience
- Required Skills
- Data AnalysisProcess improvement
Requirements
- 3+ years of professional experience in operations, healthcare, telehealth, or fast-paced startup environments.
- 1+ years of hands-on experience in credentialing and/or payer enrollment processes.
- Familiarity with tools such as CAQH Provider Data Portal and credentialing platforms (e.g., Verifiable or Medallion).
- Strong data analysis skills with experience using spreadsheets and dashboards to track and interpret metrics.
- High attention to detail with strong organizational and process management skills.
- Excellent written and verbal communication skills for interacting with clinicians and internal stakeholders.
- Proactive mindset with curiosity for improving workflows and operational systems.
- Interest in leveraging AI or automation tools to improve efficiency is a plus.
Responsibilities
- Own day-to-day credentialing and payer enrollment workflows, ensuring timely and accurate progression of clinician applications.
- Identify, troubleshoot, and resolve blockers across credentialing, enrollment, and re-credentialing processes.
- Support clinicians by guiding them through documentation requirements and resolving missing or incomplete information.
- Monitor compliance-related processes such as re-attestation and re-credentialing to prevent operational delays.
- Analyze operational data to identify trends, risks, and improvement opportunities in workflows.
- Prepare reporting and dashboards for internal stakeholders, audits, and leadership decision-making.
- Collaborate cross-functionally to improve processes, reduce manual work, and optimize operational efficiency.
- Communicate clearly with clinicians and internal teams to ensure alignment and smooth execution of workflows.
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