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VBC Operations Specialist

The CORE Institute | HOPCo

This role is responsible for executing and maintaining established roster management workflows for Clinically Integrated Networks (CINs), contributing to process improvements enhancing efficiency, scalability, and data integrity. Key duties include managing and maintaining licensure status for Digital Clinic providers (MDs, DOs, PAs, NPs, PTs), ensuring compliance with licensing, renewals, continuing education, and regulatory requirements across jurisdictions.

Responsibilities include:

  • Execute and maintain roster management across multiple CINs, VBC programs, and markets.
  • Validate provider data during onboarding to ensure accuracy and alignment with requirements.
  • Maintain provider data including start/end dates and network participation updates.
  • Perform quarterly and ad hoc roster updates for accuracy.
  • Identify and resolve data discrepancies.
  • Support practice engagement and data validation through collaboration with administrators and stakeholders.
  • Recommend and implement workflow optimizations for efficiency and scalability.
  • Track and maintain licensure status for providers across states.
  • Coordinate license applications, renewals, verifications, and compliance with continuing education.
  • Liaise with medical boards and licensing agencies and support audits.
  • Collaborate with legal, credentialing, HR, and operations teams for onboarding and compliance.

Qualifications:

  • Bachelor's degree or equivalent experience preferred.
  • 2+ years in healthcare operations, provider network management, credentialing, or related field.
  • Strong knowledge of multi-state licensure and regulatory requirements preferred.
  • Experience with licensing boards and CE/CME tracking preferred.
  • Attention to detail, organizational skills, proficiency in Excel.
  • Ability to manage complex data and multiple workflows.
  • Strong communication and independent problem-solving skills.

Work environment includes normal office or remote setting with some travel.

This position supports value-based care network operations emphasizing provider licensure and compliance management.

Requirements & Qualifications
  • Bachelor's degree or equivalent experience preferred
  • Minimum 2 years experience in healthcare operations, provider network management, credentialing, provider licensing, or roster management
  • Strong understanding of multi-state licensure processes and regulatory requirements (preferred)
  • Experience working with MD, DO, PA, NP, and PT licensing boards (preferred)
  • Familiarity with CE/CME tracking and compliance requirements (preferred)
  • Knowledge of audit and accreditation standards (preferred)
  • Strong attention to detail with experience managing complex datasets
  • Highly organized with ability to manage multiple workflows and deadlines
  • Proficiency in Excel; experience with roster management or credentialing systems preferred
  • Strong communication skills and ability to work cross-functionally
  • Ability to independently identify data issues and drive resolution under tight deadlines

Location

Phoenix, Arizona, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 week ago

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