curai - Provider Operations Associate
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
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.
Benefits
• Compensation: The pay range listed for this position reflects what Curai Health reasonably and in good faith expects to pay at the time of posting. Actual base salary will depend on a variety of factors, including your qualifications and years of relevant experience. • Culture: A mission-driven team of talented colleagues who are committed to living our values, collaborating closely, and driving meaningful impact in healthcare. • 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
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