VBC Operations Specialist

GENERAL STATEMENT OF DUTIES

This roleis responsible forexecuting andmaintainingestablished roster management workflows for the Clinically Integrated Networks(CINs) while contributing to ongoing process improvements that enhance efficiency scalability and data integrity. They are alsoresponsible for managing andmaintainingstate-by-state licensurestatus and deliverablesforDigital Clinicproviders including MDs DOs PAs NPs play a criticalroletoensure all cliniciansremaincompliant withinitiallicensing renewals continuing education and regulatory requirements across multiplejurisdictions.

Approximately 3050% of this role is dedicated to roster management and network operations with the remaining 5070%of their timesupporting Digital Clinic provider licensure position workscross-functionally to ensureaccurateprovider data seamless onboarding and alignment between roster and licensure requirements.

ESSENTIAL FUNCTIONS

Roster Management & Network Operations

• Execute andmaintainestablished roster management processes across multiple CINs VBCprogramsand markets

• Validate provider roster data duringprovideronboardingprocess ensuring completeness accuracy and alignment with program requirements

• Maintainaccurateproviderdata includingstart and end dates as providers join transition between or exit practices

• Perform quarterly and ad hoc roster updates to ensure all systems reflect current network participation

• Identifydiscrepancies gaps or inconsistencies in roster data and proactively resolve issues

• Prepare and distribute validated rosters for downstream use including ingestion into educational and reporting platforms

Practice Engagement & Data Validation

• Support VBC NetworkManagement andOperations in:

• Working withpractice administrators and internal stakeholders to collectvalidate and update provider information

• Ensuringaccuracy and completeness of datasubmittedby practices prior to ingestion into internal systems

• Serve as a point of contact for roster-related questions clarifications and issueresolution

Workflow Optimization

• Recommend and implement ongoing evaluation andadjustments toroster management workflows to improve operational efficiency and scalability

• Identifyand implementopportunities to streamline processes and enhance data quality across systems

Provider Licensure ProcessManagement

• Track andmaintaincurrent licensure statusand deliverablesfor MD DO PA NP and PT providers across all applicable states

• Support licensureresources (internal or consultants) tomonitorand interpret state-specific licensing requirements renewal timelines and regulatory changes

• Coordinate and manage license applications renewals and verifications

• Ensure compliance with continuing education (CE/CME) and other annual requirements

• Maintainaccurateand up-to-date records in internal systems and credentialing databases

• Proactively notify providers and leadership of upcoming deadlines and compliance risks

• Liaise with state medical boards and licensing agencies as needed

• Support audits by ensuring documentationiscomplete and readily accessible

• Develop and improve tracking systems processes and compliance workflows

• Collaborate with legal credentialing HR and operations teams to ensure seamlessprovideronboarding and ongoing compliance

EDUCATION

• Bachelors degree or equivalent experience preferred

EXPERIENCE

• 2 years of experience in healthcare operations provider network management credentialing provider licensing roster management ora relatedfield.

KNOWLEDGE

• 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

SKILLS

• Strong attention to detail withdemonstratedexperience managing complex datasets

• Highly organized with the ability to manage multiple workflows and deadlines simultaneously

• Proficiencyin Excelrequired; experience with roster management or credentialing systems preferred

• Strong communicationskills with the ability to work cross-functionally with internal teams and external practices

ABILITIES

• Ability toidentifydata issues and drive resolution independently

• Ability to work independently under tight deadlines

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environmentor remote.

• Some travelasneeded foradditionalmarkets.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.

• Some bending and stretching arerequired.

• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCoMission Vision and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

Required Experience:

IC