Payer Operations Coordinator

Medvidi•San Jose, CA

9h•$60,000 - $68,000

About The Position

MEDvidi is seeking a Payer Operations Coordinator to help build and execute its growing payer operations function. This is a hands-on role at the intersection of payer operations, healthcare administration, process improvement, and AI-powered automation. The role involves managing payer contracting and credentialing workflows, preparing and tracking payer applications, maintaining accurate enrollment data, following up with payers, and ensuring applications move from submission through approval. The ideal candidate will identify inefficiencies and help build AI-enabled workflows, automations, templates, dashboards, and scalable processes to improve the payer operations function.

Requirements

2–4 years of professional experience in a fast-paced startup, consulting, strategy, operations, or similarly high-growth environment.
Demonstrated experience building, implementing, or significantly improving automated workflows using AI and/or automation tools.
Ability to provide concrete examples of processes you have automated, streamlined, or redesigned.
Strong operational and problem-solving mindset—you notice inefficient processes and actively look for better ways to execute them.
Excellent written and verbal communication skills.
Comfortable conducting persistent outbound follow-up by phone and email.
Exceptional attention to detail and ability to manage multiple workstreams, trackers, deadlines, and priorities simultaneously.
Strong Excel and/or Google Sheets skills.
Self-directed and comfortable owning work from initial assignment through resolution with minimal oversight.
Comfortable working in a startup environment where processes are evolving and you may be helping build the playbook while executing it.
Curious, adaptable, and comfortable learning new systems and technologies quickly.

Nice To Haves

Healthcare payer or credentialing experience is valuable, but we are also interested in strong operators from startup, consulting, and high-growth environments who can learn quickly.
Revenue cycle management, payer enrollment, provider credentialing, or related healthcare operations.
CAQH ProView and payer credentialing/enrollment portals.
Behavioral health, telehealth, or multi-state healthcare operations.
NPI, DEA, and other provider credentialing data.
Building automated workflows within healthcare or other complex, highly regulated organizations.
Creating dashboards, reporting tools, or operational tracking systems.
Working cross-functionally with Product, Operations, Compliance, or technical teams.
Supporting or coordinating with offshore or outsourced teams.

Responsibilities

Execute payer contracting, credentialing, and enrollment activities, including preparing and submitting payer applications and tracking them through approval.
Maintain accurate and up-to-date payer enrollment, credentialing, contracting, and provider-readiness trackers.
Conduct persistent follow-up with payers through phone, email, and payer portals to confirm application status, resolve deficiencies, and move outstanding items to completion.
Own assigned applications and operational tasks end-to-end rather than waiting for others to drive next steps.
Track and report key operational metrics, including application aging, payer turnaround times, deficiencies, approval rates, and provider readiness.
Identify repetitive, manual, and error-prone steps across payer and credentialing workflows.
Build and implement AI-powered workflows and automation solutions that reduce manual work and improve speed, accuracy, and scalability.
Develop standardized templates, trackers, documentation, and dashboards as processes evolve.
Test new tools and approaches and continuously look for opportunities to improve existing workflows.
Partner closely with Clinical Operations, Product, Compliance, and other internal stakeholders.
Help build structure in an evolving function where processes may not yet be fully defined.