Curai Health

IT Support

• Monitor and interpret changes in healthcare laws, regulations, and guidance from agencies such as CMS, OIG, OCR, and state health departments, assessing the impact on virtual care operations
• Conduct periodic risk assessments to identify compliance vulnerabilities and recommend corrective actions
• Plan and conduct internal compliance audits of clinical documentation, billing and coding practices, referral arrangements, and operational workflows in outpatient and clinic settings
• Analyze audit findings, prepare detailed reports with root-cause analyses, and track corrective action plans through resolution
• Draft, review, and update compliance policies, procedures, and standard operating procedures to reflect current regulatory requirements and industry best practices
• Develop and deliver compliance training content tailored to outpatient and clinic staff, including topics such as HIPAA/privacy, fraud and abuse, proper documentation, and code of conduct expectations

Compliance and Audit Specialist

Operations

• Lead and manage all aspects of the provider lifecycle from onboarding through offboarding, ensuring seamless operational execution, compliance, and a best-in-class provider experience.
• Partner with internal stakeholders and external vendors to oversee credentialing, licensing, and enrollment activities, ensuring all regulatory and organizational requirements are met.
• Monitor expirables and drive timely re-credentialing, license renewals, and payer enrollment to maintain continuous provider readiness.
• Own the onboarding experience for new healthcare providers by coordinating documentation, training, credentialing, and systems access to ensure a smooth start.
• Manage provider offboarding processes to ensure proper closure of credentials, system access, and state licensure compliance.
• Serve as the primary liaison between internal teams and credentialing/licensing vendors to track progress, identify bottlenecks, and escalate issues as needed.
• Ensure credentialing and licensing documentation is accurate, up-to-date, and audit-ready at all times.
• Monitor adherence to all relevant regulatory, payer, and accreditation requirements (e.g., NCQA, CMS, state licensing boards).
• Support audits, compliance reviews, and corrective action planning.
• Develop and maintain key operational reports and dashboards, including onboarding progress, credentialing status, compliance tracking, and provider productivity metrics.
• Partner closely with Clinical Operations, People Operations, and Business Operations to ensure alignment across teams.
• Lead or contribute to strategic projects that enhance provider operations infrastructure, systems, and processes.

Compliance and Audit Specialist

Provider Operations Associate