Provider Operations
Practice Area
Healthcare IT
Healthcare IT
Region
Anywhere
Anywhere
Location
Remote
Remote
Company Location
United States · Hybrid n/a
United States · Hybrid n/a
Position Id
48386
48386
Provider Operations
Job Description
Client Summary:
Required Experience and Qualifications:
- Specializes in enabling organizations to scale insurance-enabled care services quickly and nationwide.
- Provides a platform that handles provider credentialing, insurance billing, and network infrastructure across all 50 states.
- Offers easy technical integration through APIs and compatibility with existing systems.
- Focuses on improving patient experience by making coverage and cost information visible in real time.
- Helps organizations reduce overhead, expand access, and launch services rapidly.
- Own provider onboarding, credentialing, and payer enrollment from end to end, ensuring Bridge can bring new providers online quickly and compliantly across all payer plans.
- Build scalable systems and dashboards that measure throughput, quality, and cost per provider, enabling data-driven decision-making and continuous process improvement.
- Recruit, develop, and lead a high-performing operations team capable of supporting rapid provider growth while maintaining a high standard of quality and compliance.
- Partner cross-functionally with Product, RCM, and Legal to improve workflows, reduce credentialing bottlenecks, and ensure provider data accuracy supports clean claims.
- Establish Bridge as a trusted partner to payors through delegated credentialing programs, strong relationships, and consistently reliable execution.
- Continuously improve the provider experience by identifying friction points, defining success metrics, and driving measurable gains in speed, satisfaction, and reliability.
Required Experience and Qualifications:
- 7–10+ years in healthcare operations with significant experience in provider credentialing, payer enrollment, or network management
- Proven ability to build and scale operational processes and teams in a high-growth or regulated environment
- Strong analytical and data fluency; experienced in manipulating data, building dashboards, defining KPIs, and using data to drive operational decisions.
- Comfort with ambiguity and a track record of creating structure and accountability from the ground up
- Excellent communication skills and the ability to influence across technical, clinical, and business teams
- Experience with delegated credentialing or payer enrollment systems
- Background in RCM or telehealth