Provider Operations Associate

🕒 il y a 28 jours

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Curai Health

Site WebLinkedInTous les Emplois

51 - 200 employés

🏥 Santé

📦 Logistique

🤖 Intelligence artificielle

💰 €27 500 000 Series B en 2020-12

Healthcare • Logistics • Artificial Intelligence

Curai Health est une entreprise qui propose des solutions complètes de soins primaires virtuels intégrant l'intelligence artificielle à l'expertise des professionnels de santé. L'entreprise vise à élargir l'accès à des soins primaires abordables grâce à une technologie assistée par l'IA, promouvant de meilleurs résultats pour les patients et une équité accrue en matière de soins de santé tout en réduisant les coûts opérationnels. Curai Health soutient les régimes de santé, les systèmes de santé et les administrateurs tiers en intégrant des logiciels améliorés par l'IA et des équipes de soins pour optimiser la prestation des soins et la gestion des patients. Leur plateforme facilite les soins primaires personnalisés, les soins urgents, la prescription et la commande de tests de laboratoire, la gestion des affections, la navigation dans les réseaux et les intégrations de flux de travail cliniques, visant tous à améliorer l'expérience des patients et l'accès aux soins de santé. Curai Health s'engage à utiliser l'IA de manière substantielle pour améliorer l'efficacité et l'efficacité des soins de santé, se distinguant comme un partenaire pour les organisations cherchant à renforcer leurs capacités de soins virtuels.

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. • 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.

🎯 Exigences

• 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, 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 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

🏖️ Avantages

• Comprehensive medical, dental, and vision coverage • Flexible spending plans • Generous and flexible Paid Time Off (PTO), floating holidays, and parental leave • 401k plan with employer matching • 100% remote — work from home