Guidehealth · 17 hours ago
Provider Operations Support Specialist
United States
Full-time
Remote
Entry Level
1+ years expGuidehealth is a data-powered healthcare company focused on operational excellence and improving patient health. The Provider Operations Support Specialist is responsible for providing administrative and systems support to the Provider Operations team, focusing on provider credentialing, data maintenance, and compliance reporting.
Artificial Intelligence (AI)Health CareInformation TechnologyMedical
Responsibilities
Assisting with provider credentialing by collecting documentation, entering provider data, submitting required materials to the health plan, tracking completion, and updating internal records
Maintaining and updating provider records from various sources in internal systems to ensure accuracy and completeness
Supporting reporting requirements, including completing health plan reports on assigned schedules
Preparing and processing member notifications related to provider network changes
Supporting website activations and updates for provider directories
Performing internal macro audits to validate data accuracy and record completeness
Following established workflows and procedures, escalating issues to Provider Operations Coordinators as needed
Completing additional administrative and operational support tasks for the Provider Operations team
Qualification
Required
1–2 years of experience in healthcare, managed care, or provider network operations, including provider records, credentialing, or administrative support
Strong technical aptitude with the ability to quickly learn new systems, tools, and workflows
High attention to detail and strong organizational skills in a compliance-driven environment
Comfort working with structured data, data entry, and reports, with an understanding of data accuracy and integrity
Ability to manage multiple priorities and meet deadlines in a fast-paced, evolving environment
Working knowledge of Microsoft Office, with strong Excel skills (data entry, basic formulas, data validation); Access a plus
Analytical and problem-solving skills, with the ability to recognize patterns, errors, and opportunities for improvement
Ability to work independently on assigned tasks while collaborating with a team and escalating issues appropriately
Strong written and verbal communication skills, with a professional, service-oriented approach
Benefits
Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.
Company
Guidehealth
Guidehealth offers healthcare solutions focusing on patient care, provider support, and technology integration.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$24MKey Investors
Emory Healthcare,Memorial Hermann Health SystemMemorial Hermann Health System
2025-06-10Series Unknown· $10M
2024-08-06Seed· $14M
Leadership Team
Sanjay Doddamani
Founder and CEO
Roger Ou
Chief Financial Officer
Recent News
2025-10-17
2025-09-12
Company data provided by crunchbase