Provider Operations Associate

Role Description

The Provider Operations Associate plays a critical role in ensuring that healthcare providers are appropriately onboarded, maintain compliance, and operate efficiently within the healthcare organization. They contribute to the delivery of high-quality healthcare services by managing the administrative and operational aspects of provider support.

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.

What You'll Do

• 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.

Qualifications

• 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

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.

Benefits

• 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