06 Aug
|
Curai Health
|
India
06 Aug
Curai Health
India
What Youll 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).
- 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.
What Youll Need
- Associate Degree in healthcare administration, business, or a related field (or equivalent experience) required, Bachelors 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 quick-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
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
📌 Provider Operations Associate (India)
🏢 Curai Health
📍 India