Summary
We are seeking an experienced and detail-driven Provider Operations Associate to play a key role in supporting and optimizing the operational excellence of our clinical organization. This position requires a strong understanding of provider lifecycle management, including onboarding, credentialing, licensing, enrollment, and compliance. The ideal candidate brings a proactive, solutions-oriented approach and demonstrates the ability to manage complex workflows, vendor partnerships, and cross-functional initiatives with minimal oversight.
Job Overview
- Job type: Full time /Part time
- Work setting: Work from home
- Location: Remote (Worldwide)
- Salary: $55,000 – $60,000
- Employer: Curai
Responsibilities
Provider Lifecycle Management
- 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.
Onboarding & Offboarding
- 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.
Credentialing & Licensing Oversight
- 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.
Compliance & Quality Assurance
- 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.
Operational Reporting & Analysis
- 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.
Cross-Functional Collaboration
- 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.
Special Projects
- 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, 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
Salary: $55,000 – $60,000 / year
- 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
Curai Health is an equal opportunity employer and is deeply committed to building a diverse and inclusive workforce. In keeping with our beliefs and values, no employee or applicant will face discrimination or harassment based on race, color, ancestry, national origin, religion, age, gender, marital or domestic partner status, sexual orientation, gender identity, disability status, veteran status, or any other legally protected characteristic. To promote an equitable and bias-free workplace, we set competitive compensation packages for each position and do not negotiate on our offers. We are looking for mission-driven teammates who embody our core values and appreciate our transparent approach.