Provider Operations Manager (Credentialing)

Location: Remote USA

Salary: $73,000–$115,000/year

Company

hirify.global is a healthcare company founded in 2017 that combines a care platform, advanced data and AI, and clinical and service experiences to improve the health and well-being of older Americans.

What you will do

• Support day-to-day provider and facility credentialing operations by working queues, resolving complex cases, and improving turnaround times and quality.
• Document operational knowledge in current SOPs and maintain a central documentation library.
• Help manage, train, and develop the offshore team, including monitoring quality and productivity and supporting offshore work transitions.
• Assess operational pain points, build data-based business cases, and measure the impact of AI solutions, technology improvements, and offshore transitions.
• Create, test, measure, and refine AI solutions for operational efficiency, partnering with product and engineering as needed.
• Lead workflow mapping, requirements, testing, cutover, and post-launch vendor performance monitoring for the 2027 CVO vendor transition; own operational metrics and ensure compliance with CMS, AAAHC, and state requirements.

Requirements

• 3–5+ years of experience in operations, process improvement, or consulting.
• Hands-on operating approach with willingness to execute directly, not only manage or direct work.
• Strong process orientation, efficiency focus, and ability to anticipate and prevent bottlenecks.
• Ability to move between high-level strategy and detailed execution, reprioritize quickly, and work through complex problems in a fast-paced environment.
• High attention to detail and a strong standard for quality and accuracy.
• Ability and willingness to understand and follow complex regulations.
• Strong communication skills for cross-functional collaboration and alignment.
• Data, systems, and technology proficiency, including the ability to build reporting that improves decision-making.

Nice to have

• Healthcare experience.
• Familiarity with credentialing standards and CMS requirements.
• Hands-on experience building and deploying AI tools for workflow improvement, or a strong record of applying technology and automation to operational problems.
• Experience with process improvement methodologies.

Culture & Benefits

• Mission-driven environment focused on improving healthcare for older Americans.
• Employer-sponsored health, dental, and vision plans with low or no premium.
• Generous paid time off and parental leave.
• $100 monthly mobile or internet stipend.
• Stock options for all employees, bonus eligibility except for Director-level and above roles, and a 401(k) program.
• Safe, supportive, diverse, and collaborative workplace.