Senior Associate - Payor Enrollment - CertifyOS
View Company Profile- Job Title
- Senior Associate - Payor Enrollment
- Job Location
- New Delhi, Mumbai, Bangalore, Chennai, Hyderabad, Ahmedabad
- Job Description
- About Certify:We are on a mission to change how the US healthcare industry deals with provider data. Our goal is to reduce the cost of healthcare by streamlining access to provider data and reduce administrative and regulatory burden on healthcare organizations.Certify is revolutionizing the healthcare industry by laying the infrastructure upon which the next generation of provider-centric applications (network adequacy, accuracy, provider utilization, etc.) will be built. As innovative digital health plans and provider care models continue to scale and challenge traditional care models, the need for a centralized data infrastructure has never been greater. Our platform will support the future of healthcare innovation by becoming the source of truth of provider data, and making that data easily accessible and actionable for the entire healthcare ecosystem.We have built an API-first, UI-agnostic, end-to-end provider network management platform automating licensing, enrollment, credentialing, and network monitoring. With direct integrations into 100’s of primary sources, we are uniquely positioned to enhance visibility into the entire provider network management process. Our team has more than 25+ years of combined experience building provider data systems at Oscar Health and are backed by top-tier VC firms who share our vision of creating a one-of-a-kind healthcare cloud that removes the friction surrounding provider data..At Certify, we pride ourselves on fostering a meritocratic environment that ensures every voice has an opportunity to be heard. Founded on the principles of trust, transparency and accountability, we aim to challenge the status quo at every step and are looking for purpose-driven team members to share our journey in redefining Healthcare data infrastructure.About the role:As Certify scales, we need to add rigor and structure to our operational processes to continue driving high customer satisfaction at increasingly attractive unit economics. We are looking to hire an Senior Associate to play a critical role in leading and managing operational initiatives for the Payor Enrollment team. This India-based role combines leadership, process improvement, and data-driven decision-making to drive operational excellence and efficiency.What you will do:
- Team Management
- Manage and develop a team responsible for daily processing and core performance metrics, ensuring alignment with SLAs and organizational goals.
- Mentor and support team members, focusing on individual growth, team efficiency, and metrics achievement.
- Lead efforts in building processes with data-driven insights and optimizing work distribution systems to enhance operations and overall Payer Enrollment processes.
- Process Improvement
- Drive improvements in speed, quality, and efficiency of operational processes, with a focus on growth and scalability.
- Partner with cross-functional teams, including Product, Engineering, and Data, to develop scalable workflows and implement systems that enhance efficiency and client satisfaction.
- Oversee operational metrics, identifying trends and risks while implementing new metrics to support growth and efficiency.
- Ensure data migration with minimal client disruption, collaborating closely with cross-functional teams.
What you will need:- 3+ years of people-management experience, particularly in operations-focused roles; experience with process development or improvement is a must.
- Strong coaching skills and the ability to mentor and grow high-performing team members and analysts in a production-focused environment.
- Exceptional organizational skills with a proven track record of implementing systems to manage and scale complex processes.
- An analytical mindset with strong Excel/Google Sheets proficiency; SQL skills are a bonus and familiarity with BI tools like Looker is preferred.
- Ability to thrive in a fast-paced, high-growth environment while juggling multiple priorities and initiatives.
- Comfort in both tactical and strategic roles, with a hands-on approach to solving immediate challenges and a long-term focus on scaling processes.
BONUS POINTS:- Previous experience with global operations teams, particularly in the healthcare or payor enrollment space.
- Knowledge of healthcare workflows, including licensing, enrollment, and claims management.
- Experience in fast-paced, high-growth environments, such as startups or venture-backed companies.
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CertifyOS Company Size
Between 50 - 100 employees
CertifyOS Founded Year
2021
CertifyOS Total Amount Raised
$19,050,000