Operations Project Associate

This is a fully remote position, open to applicants in Honduras, +5 more countries.

📋 Description

• Develop and execute patient intake procedures that encompass documentation, insurance verification, and determining financial obligations.

• Establish systems and metrics to monitor care quality in virtual settings and uncover inconsistencies between patient self-reports and clinician evaluations.

• Formulate procedures that highlight potential care concerns and initiate coaching or accountability actions.

• Utilize AI and telehealth technologies to uphold quality standards as patient volumes grow.

• Oversee clinician credentialing processes, including verification of state registrations and enrollment with insurance providers across various payers.

• Gather and organize payer-specific data required by major insurers for payment processing.

• Create onboarding systems to ensure compliance and that administrative tasks are completed prior to clinicians seeing patients.

• Develop real-time dashboards that track licensing, credentials, and payer enrollment across multiple states.

• Implement managed care frameworks to monitor patient progress and assess care effectiveness.

• Design telehealth audit procedures to identify discrepancies between patient outcomes and clinician documentation.

• Establish objective-metric accountability systems for appropriate care delivery.

• Create KPI dashboards for leadership visibility on quality and compliance.

• Discover automation opportunities within operational workflows to decrease manual tasks.

• Enhance client scheduling, communication, and service retention utilizing existing tools.

• Introduce technological solutions that boost efficiency without necessitating new platform acquisitions.

• Optimize backend systems to accommodate multi-state expansion without proportional rises in operational costs.

• Operate independently on internal operations projects without daily oversight of clinicians or patients.

⛳️ Requirements

• 5–8 years of experience in healthcare operations, including at least 3 years within U.S.-based systems focused on credentialing, payer enrollment, and insurance verification workflows.

• Practical experience with major payer systems such as Blue Cross, Anthem, or their equivalents.

• Knowledge of credentialing across various provider types.

• Proven track record in designing and executing workflow optimization, process improvement, or quality assurance initiatives in healthcare or similarly regulated sectors.

• Experience in building systems or dashboards to monitor operational metrics and performance KPIs in a regulated healthcare environment.

• Demonstrated ability to work autonomously on backend operations projects with minimal oversight.

• Capacity to independently identify challenges and devise solutions.

• Solid experience in streamlining manual processes, identifying efficiency enhancements, or implementing technology solutions to minimize manual tasks.

• Proficiency in English at a C1+ CEFR level.

• Preferred experience in mental health, behavioral health, or telehealth operations.

• Preferred background in implementing AI tools, automation platforms, or workflow optimization software within healthcare contexts.

• Preferred experience in scaling startups or mid-market healthcare organizations.

• Familiarity with multi-state healthcare operations and the associated state-level licensing, compliance, or regulatory standards is preferred.

• Experience in dashboard and KPI development is preferred.

🏝️ Benefits

• Competitive salary commensurate with experience and skills.

• Fully remote work from any location.

• Team incentives and recognition for maintaining 100% CRM hygiene and timely reporting.

• Generous PTO in line with company policy.

• HMO coverage after 3 months for full-time employees based in the Philippines.

• Direct mentorship from international industry experts.

• Continuous learning and development resources.

• Global networking opportunities.