Senior Provider Operations Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate closely with the lead for roster automation.

• Assess and validate data pipelines.

• Implement bulk updates to enrollment records.

• Oversee reconciliation workflows across more than 50 payer networks.

• Develop and sustain operational documentation and standard operating procedures (SOPs).

• Mitigate tribal knowledge by establishing documented processes.

• Generate real-time visibility into enrollment and roster statuses.

• Define operational requirements for new projects prior to execution.

• Ensure all teams utilize a single, precise source of truth.

• Confirm that operational modifications are executed with thorough documentation and readiness.

⛳️ Requirements

• Minimum of 3 years' experience in healthcare operations, data management, provider network operations, or credentialing/enrollment support.

• Proficient in analyzing operational data, resolving data discrepancies, and applying structured solutions with Excel and/or Google Sheets.

• Experienced in manipulating, cleaning, and validating substantial datasets of over 1,000 rows for accuracy and completeness.

• Skilled at identifying patterns, anomalies, and root causes within structured data.

• Capable of managing multiple priorities and adhering to deadlines in a dynamic environment.

• Effective in communicating progress and obstacles clearly to stakeholders.

• Strong written and verbal communication abilities.

• Ability to convert operational data and findings into concise summaries for both technical and non-technical audiences.

• Preferred: experience in provider roster management, network reconciliation, or bulk data operations within healthcare, insurance, or health-tech sectors.

• Preferred: familiarity with workflow automation, scripting, or low-code tools such as Google Apps Script, Zapier, Make, or Python for data manipulation.

• Preferred: experience with business intelligence/reporting tools like Metabase, Looker, Tableau, or Power BI.

• Preferred: comfort in reading or writing basic SQL queries.

• Preferred: experience with CRM, database, or ticketing platforms, including Salesforce, Airtable, or Zendesk.

🏝️ Benefits

• 100% remote work environment.

• Competitive salary and benefits with clear pay ranges.

• Comprehensive medical, dental, vision, life, disability, and FSA/HSA benefits.

• Access to a 401(k) plan.

• Generous time-off policies, including two company-wide shutdown weeks annually for most staff.

• Paid parental leave for birthing, non-birthing, adopting, and fostering parents.

• Employee Assistance Program (EAP).

• Quarterly department stipend for team-building activities or in-person gatherings.

• Community and employee resource groups.

• New hire home office stipend.

• $50 monthly stipend for internet or cell phone expenses.

• Year-round wellness initiatives.

• $50/month wellness stipend.

• Equity offered.