Provider Operations Associate (Healthcare)

TL;DR

Provider Operations Associate (Healthcare): Managing the end-to-end provider lifecycle including onboarding, credentialing, and compliance with an accent on regulatory standards and operational efficiency. Focus on optimizing provider readiness, ensuring NCQA/CMS compliance, and improving onboarding workflows.

Location: Remote (US)

Salary: $55,000 - $60,000 / year

Company

hirify.global is a mission-driven company leveraging artificial intelligence to make high-quality healthcare more affordable and accessible for everyone.

What you will do

• Manage the complete provider lifecycle from onboarding through offboarding, ensuring compliance and a high-quality experience.
• Oversee credentialing, licensing, and enrollment activities in partnership with internal stakeholders and external vendors.
• Monitor regulatory adherence to NCQA, CMS, and state licensing board requirements.
• Develop and maintain operational reports and dashboards to track onboarding progress and provider productivity.
• Collaborate cross-functionally with Clinical, People, and Business Operations to align processes.
• Lead strategic projects aimed at enhancing provider operations infrastructure and systems.

Requirements

• Associate Degree in healthcare administration, business, or a related field (Bachelor's preferred).
• 5+ years of experience in provider operations, credentialing, and payor enrollment within the healthcare industry.
• Strong working knowledge of healthcare compliance and regulatory standards (NCQA, CMS).
• Proficiency with EHR systems, Symplr credentialing databases, and data reporting tools.
• Proven ability to manage complex workflows and prioritize tasks in a fast-paced environment.

Culture & Benefits

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