Connecting for Better Health

Registered Dietitian

• Deliver virtual patient care using evidence-based protocols including low FODMAP and targeted elimination diets, tailored to each patient's digestive condition
• Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a coordinated, whole-person approach to care
• Develop individualized nutritional care plans that align with Oshi's clinical protocols and evidence-based practice guidelines
• Document patient interactions accurately and in a timely manner within the EHR
• Participate in quality improvement initiatives and contribute to the ongoing development of company-wide nutritional best practices
• Engage in professional training activities to stay current and continuously advance your clinical knowledge base
• Share insights and feedback with your team to improve patient experience and outcomes as Oshi scales

Licensed Registered Dietitian

Credentialing Specialist

• Own the end-to-end payer enrollment process for new and existing providers, including initial enrollments, revalidations, demographic updates, terminations, and maintenance across commercial, Medicare, and Medicaid health plans.
• Submit, track, and proactively follow up on payer enrollment applications to ensure timely provider participation and minimize delays to patient care and revenue.
• Serve as the primary point of contact with national and local health plans, delegated credentialing organizations, CVOs, and internal stakeholders to resolve enrollment issues, missing information requests, and payer escalations.
• Maintain accurate provider data across payer portals, CAQH, credentialing systems, and internal tracking tools, ensuring consistency across all platforms.
• Support delegated credentialing activities by maintaining provider rosters, submitting required updates, monitoring compliance requirements, and preparing documentation for internal and external audits.
• Conduct routine audits of provider enrollment and credentialing files to ensure compliance with NCQA, CMS, state, and payer-specific requirements.
• Monitor key enrollment and credentialing metrics, identify risks to provider participation, and communicate status updates and timelines to leadership and cross-functional partners.
• Collaborate closely with Licensing, Practice Operations, Revenue Cycle, Recruiting, and Clinical Operations teams to ensure providers are fully credentialed, enrolled, and ready to see patients on schedule.
• Identify opportunities to improve enrollment and credentialing workflows through process standardization, documentation, automation, and operational efficiencies.
• Support provider licensing activities as needed, including coordinating new state license applications, renewals, cross-licensure efforts, and maintaining accurate licensure records.
• Monitor provider licenses, DEA and CDS registrations, board certifications, malpractice coverage, and other required credentials to ensure continuous compliance.
• Provide exceptional support to providers throughout the enrollment, credentialing, and licensing process by communicating requirements, timelines, and next steps clearly and proactively.

Licensing and Credentialing Specialist

Operations

• Lead and develop the Care Coordination team, ensuring SLA targets are met across all patient communication channels including in-app chat, phone, SMS, and email
• Oversee the high-volume inbound patient chat queue, establishing coverage models, escalation protocols, and quality standards that enable a seamless patient experience at scale
• Create and maintain conversation guides and coaching materials that equip Care Coordinators to educate patients on Oshi's programs, insurance coverage, billing, and care pathways
• Develop workflows supporting patient acquisition, retention, and re-engagement to ensure patients move efficiently through the enrollment funnel
• Identify and resolve bottlenecks in the patient journey, designing SOPs and scalable processes that reduce friction and improve operational efficiency
• Deploy and manage human-AI collaboration tools, including AI-assisted chat routing and automated follow-ups, while maintaining human review checkpoints to protect patient safety
• Ensure compliant EHR usage across the team and partner with Product to evaluate and scale new automation capabilities
• Lead cross-functional initiatives aligned with OKRs, managing timelines and stakeholder communication across Care Operations, Product, Clinical, and Growth teams
• Define, monitor, and enforce SLA benchmarks while maintaining real-time visibility into queue performance and HIPAA compliance
• Own operational reporting across KPIs including enrollment conversion, retention, SLA adherence, and response times

Manager, Care Coordination Operations

Referral Coordinator

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team
• Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met

Referral & Authorization Care Coordinator

Care Coordinator

• Own high-volume inbound patient and provider communication queues across phone, email, chat, and SMS, responding quickly while maintaining accuracy and professionalism.
• Serve as the first point of contact for patients, resolving inquiries in real time without unnecessary handoffs.
• Schedule, reschedule, and coordinate appointments accurately, ensuring clean handoffs to GI Providers, Registered Dietitians, and Behavioral Health Providers.
• Respond to billing and insurance questions, clearly explaining benefit design and cost-share in a way patients can understand.
• Triage clinical questions accurately, manage pharmacy inquiries, and coordinate prescription and refill requests with urgency and attention to detail.
• De-escalate challenging interactions with confidence and empathy while documenting all patient interactions accurately in real time.
• Proactively identify workflow inefficiencies and suggest improvements that increase speed and patient satisfaction.

Licensed Clinical Social Worker

• In a digital integrated healthcare environment, collaborating with a multidisciplinary team of care providers (including MDs, Dietitians) to provide a comprehensive and coordinated approach to member care
• Utilize evidenced-based clinical interventions (including but not limited to Cognitive Behavioral Therapy, relaxation strategies (diaphragmatic breathing, progressive muscle relaxation), Motivational Interviewing, Acceptance and Commitment Therapy, psychoeducation (brain-gut connection, coping with chronic illness) and gut directed hypnotherapy.
• Complete biopsychosocial assessments to design and implement relevant and concrete goals that support clients in achieving meaningful outcomes related to their GI condition(s).
• Initiate and maintain health records and encounters in electronic health record and comply with guidelines outlined within company clinical protocols and other related manuals.
• Participate in professional training activities to maintain licensure and advance knowledge base
• Participate in clinical coordination meetings with other care team members
• Contribute to company wide development of psychological best practices and feedback to share your professional experience with other team members and further improve member experiences