Senior Provider Operations Associate

3 days ago

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Curai Health

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Artificial Intelligence • Healthcare Insurance

Curai Health is a company that provides comprehensive virtual primary care solutions integrating artificial intelligence with medical professionals' expertise. The company aims to expand access to cost-effective primary care through AI-assisted technology, promoting better patient outcomes and increased healthcare equity while reducing operational costs. Curai Health supports health plans, health systems, and third-party administrators by embedding AI-enhanced software and care teams to optimize care delivery and patient management. Their platform facilitates personalized primary care, urgent care, prescription and lab ordering, condition management, network navigation, and clinical workflow integrations, all aiming to enhance patient experience and healthcare reach. Curai Health is committed to using AI substantively to improve healthcare efficiency and effectiveness, setting it apart as a partner for organizations aiming to enhance their virtual care capabilities.

51 - 200 employees

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

💰 $27.5M Series B on 2020-12

📋 Description

• 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. • Contribute to process improvement initiatives that enhance accuracy, efficiency, and compliance outcomes. • Develop and maintain key operational reports and dashboards, including onboarding progress, credentialing status, compliance tracking, and provider productivity metrics. • Identify trends and provide actionable insights to improve processes and provider experience. • Partner closely with Clinical Operations, People Operations, and Business Operations to ensure alignment across teams. • Act as a subject-matter expert on provider operations processes and assist with training junior staff or cross-functional partners. • Lead or contribute to strategic projects that enhance provider operations infrastructure, systems, and processes.

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

🏖️ Benefits

• Competitive compensation and stock • Unlimited PTO • Flexible working hours • Remote working options • Excellent medical, dental, vision, and flex spending plans. • 401k plan with employer matching