What are the responsibilities and job description for the Healthcare Administrator position at Evlo AI?
About The Role
The role owns the operational backbone of a growing healthcare technology organization: compliance, credentialing, provider operations, and regulatory workflows across the US healthcare system.
You will translate complex requirements — HIPAA, payer contracts, state licensing, CMS and Joint Commission standards — into processes and systems that keep clinical and business teams moving fast without cutting corners.
Key Responsibilities
The role owns the operational backbone of a growing healthcare technology organization: compliance, credentialing, provider operations, and regulatory workflows across the US healthcare system.
You will translate complex requirements — HIPAA, payer contracts, state licensing, CMS and Joint Commission standards — into processes and systems that keep clinical and business teams moving fast without cutting corners.
Key Responsibilities
- Own day-to-day healthcare operations, including credentialing workflows, provider onboarding, and compliance calendars
- Maintain and audit HIPAA compliance programs, risk assessments, and documentation for internal and external reviews
- Manage payer enrollment and contract administration, tracking timelines with payers, clearinghouses, and state agencies
- Build and refine SOPs and workflows in tools like Jira, Notion, and credentialing platforms (e.g., CAQH, Modio) to reduce turnaround times
- Coordinate cross-functional initiatives spanning clinical, legal, engineering, and customer-facing teams
- Report on operational and compliance KPIs to leadership, surfacing risks and driving corrective action plans
- Support budgeting, vendor management, and facilities/HR coordination for a distributed team
- 4-7 years in healthcare administration, operations, or compliance within US healthcare settings
- Working knowledge of HIPAA, CMS regulations, payer credentialing, and state licensing requirements
- Experience with healthcare systems and tools (EHRs, credentialing software, CAQH, Availity or similar)
- Strong process-design and documentation skills; comfortable building workflows and tracking metrics in spreadsheets and BI dashboards
- Excellent written communication and cross-functional coordination across remote teams
- Bachelor's degree in healthcare administration, business, or a related field (or equivalent experience)
- Bonus: experience in health tech or telehealth, Familiarity with value-based care models or FQHC operations, Project management certification (PMP or similar)