Provider Operations Associate

🕒 Abril 2

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Curai Health

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🤖 Inteligência Artificial

⚕️ Seguro de Saúde

💰 $27.500.000 Series B em 2020-12

Artificial Intelligence • Healthcare Insurance

A Curai Health é uma empresa que oferece soluções abrangentes de atenção primária virtual, integrando inteligência artificial com a experiência de profissionais médicos. A empresa tem como objetivo expandir o acesso a cuidados primários eficazes em termos de custo por meio de tecnologia assistida por IA, promovendo melhores resultados para os pacientes e aumentando a equidade na saúde, enquanto reduz os custos operacionais. A Curai Health apoia planos de saúde, sistemas de saúde e administradores de terceiros ao integrar software aprimorado por IA e equipes de cuidados para otimizar a entrega de cuidados e o manejo de pacientes. Sua plataforma facilita cuidados primários personalizados, atendimento urgente, prescrições e pedidos de laboratório, gerenciamento de condições, navegação em rede e integrações de fluxo de trabalho clínico, tudo com o objetivo de melhorar a experiência do paciente e o alcance dos cuidados de saúde. A Curai Health está comprometida em usar IA de maneira substantiva para melhorar a eficiência e eficácia dos cuidados de saúde, destacando-se como parceira para organizações que desejam aprimorar suas capacidades de cuidado virtual.

Descrição

• 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.

🎯 Requisitos

• 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, Symplr credentialing databases, and data management/reporting tools. • Demonstrated ability to work independently while effectively collaborating across teams and departments.

🏖️ Benefícios

• Culture: Mission driven talent with great colleagues committed to living our values, collaborating and driving performance • Pay: Competitive compensation and stock • Wellness: Unlimited PTO, flexible working hours and remote working options • Benefits: Excellent medical, dental, vision, and flex spending plans • Financial: 401k plan with employer matching