Provider Operations Associate / Lead

🕒 2 days ago

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Wheel

201 - 500 employees

Founded 2018

⚕️ Healthcare Insurance

☁️ SaaS

📡 Telecommunications

Healthcare Insurance • SaaS • Telecommunications

Wheel is a leading platform for consumer-centric virtual care, designed to provide personalized, convenient, and comprehensive healthcare. Wheel offers a seamless virtual care solution for both companies and clinicians, enabling businesses to easily grow their healthcare offerings and deliver high-quality care at scale. For clinicians, Wheel provides a flexible and rewarding platform that allows them to work with multiple companies under one schedule and contract, all while operating remotely. The company partners with digital health companies, health plans, life sciences companies, and retailers to offer services including convenience care, urgent care, and condition-specific care programs. Trusted by Fortune 50 companies and supported by a robust clinician network, Wheel has facilitated over five million patient visits and maintains a high clinician satisfaction rate.

📋 Description

• Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows, ensuring applications move forward accurately and on time. • Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes. • Support clinicians directly by guiding them through credentialing and enrollment requirements and helping resolve missing or incomplete documentation. • Monitor re-attestation, re-credentialing, and ongoing compliance requirements to prevent downstream delays. • Analyze credentialing and enrollment data to surface trends, risks, and opportunities for improvement. • Prepare clear reporting for internal stakeholders, audits, and leadership • Identify process gaps, inefficiencies, or manual work and help implement improvements over time. • Use spreadsheets, dashboards, and internal tools to manage workflows and track performance. • Provide subject matter expertise to Wheel team members and/or clinicians about Wheel’s credentialing and payer enrollment operations, for example answering questions about the process, payer rosters, and credentialing status of clinicians.

🎯 Requirements

• 3+ years of professional experience, ideally in operations, healthcare/ telehealth or a fast-paced startup environment. • 1+ years of experience in credentialing and/or payer enrollment, including hands-on experience with the CAQH Provider Data Portal and Verifiable or Medallion. • 1+ experience with data analysis and visualization- you are comfortable working in spreadsheets, interpreting metrics, and using data to manage workflows and spot issues. • You’re highly organized but also thoughtful about how work gets done, not just checking boxes. • You communicate clearly and confidently with clinicians and internal partners. • You’re comfortable in detail-oriented work *and* curious about how to improve processes over time. • You are curious about AI and eager to use AI to create efficiencies and high quality experiences.

🏖️ Benefits

• Medical, Dental and Vision • Ancillary: Life, Short and Long Term Disability • 401K match • Flexible PTO • Parental Leave • Stock options • Additional programs and perks

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