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Provider Operations Associate

4 weeks, 2 days ago
United States
Full-time
Senior
Operations Specialist
Operations
Machine Learning
Apply Now
Curai Health

Curai Health

Curai Health is a text-based primary care service that combines human intuition with advanced AI to provide a fast and hassle-free healthcare experience. They aim to make quality healthcare accessible to all by improving cost-effectiveness and scalabil...

Health Care Providers & Services
51-250
Founded 2017
$38M raised
View All Jobs 5

Description

  • Lead provider lifecycle management from onboarding through offboarding to ensure smooth operational execution and a strong provider experience.
  • Coordinate provider onboarding by managing documentation, training, credentialing, and systems access.
  • Manage provider offboarding, including closure of credentials, system access, and state licensure compliance.
  • Partner with internal stakeholders and external vendors on credentialing, licensing, and payer enrollment activities.
  • Monitor expirables and drive timely re-credentialing, license renewals, and enrollment updates.
  • Serve as the primary liaison with credentialing and licensing vendors, tracking progress and escalating issues as needed.
  • Maintain accurate, up-to-date, and audit-ready credentialing and licensing documentation.
  • Monitor compliance with regulatory, payer, and accreditation requirements, including NCQA, CMS, and state licensing boards.
  • Support audits, compliance reviews, corrective action planning, and process improvement initiatives.
  • Develop operational reports and dashboards to track onboarding, credentialing, compliance, and provider productivity metrics.

Requirements

  • Associate degree in healthcare administration, business, or a related field, or equivalent experience; bachelor's degree preferred.
  • 5+ years of experience in provider operations, credentialing, licensing, and payer enrollment in healthcare.
  • Strong working knowledge of healthcare compliance and regulatory standards such as NCQA and CMS.
  • 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, Symplr credentialing databases, and data management/reporting tools.
  • Demonstrated ability to work independently while collaborating effectively across teams and departments.

Benefits

  • Salary range of $55,000 to $60,000 per year.
  • Comprehensive medical, dental, and vision coverage.
  • Flexible spending plans.
  • Generous and flexible PTO, floating holidays, and parental leave.
  • 401(k) plan with employer matching.
  • 100% remote work-from-home setup.
  • Mission-driven, collaborative team culture.

Interested in this position?

Apply directly on the company website

Apply Now

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