Provider Operations Associate
Our company is remote-first, and we consider candidates across the United States.Full-TimeMiddle
Salary55,000 - 60,000 USD per year
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Job Details
- Experience
- 5+ years
- Required Skills
- Data managementEHR
Requirements
- Associate Degree in healthcare administration, business, or a related field (Bachelor's preferred).
- 5+ years of experience in provider operations, credentialing, licensing, and payor enrollment in the healthcare industry.
- Strong working knowledge of healthcare compliance and regulatory standards (e.g., NCQA, CMS).
- Proven ability to manage complex workflows and prioritize 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 and collaborate across teams.
Responsibilities
- Lead and manage all aspects of the provider lifecycle from onboarding through offboarding.
- Partner with internal stakeholders and external vendors to oversee credentialing, licensing, and enrollment activities.
- Monitor expirables and drive timely re-credentialing, license renewals, and payer enrollment.
- Ensure credentialing and licensing documentation is accurate, up-to-date, and audit-ready.
- Monitor adherence to regulatory, payer, and accreditation requirements such as NCQA, CMS, and state licensing boards.
- Develop and maintain operational reports, dashboards, and metrics.
- Partner with Clinical, People, and Business Operations teams to ensure organizational alignment.
- Lead or contribute to strategic projects to enhance provider operations infrastructure.
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