VBC Operations Specialist

Healthcare Outcomes Performance Co. (HOPCo)•Phoenix, AZ

1d•Hybrid

About The Position

This role is responsible for executing and maintaining established roster management workflows for the Clinically Integrated Networks (CINs), while contributing to ongoing process improvements that enhance efficiency, scalability, and data integrity. They are also responsible for managing and maintaining state-by-state licensure status and deliverables for Digital Clinic providers, including MDs, DOs, PAs, NPs, and PTs. They play a critical role to ensure all clinicians remain compliant with initial licensing, renewals, continuing education, and regulatory requirements across multiple jurisdictions. Approximately 30–50% of this role is dedicated to roster management and network operations, with the remaining 50–70% of their time supporting Digital Clinic provider licensure functions. This position works cross-functionally to ensure accurate provider data, seamless onboarding, and alignment between roster and licensure requirements.

Requirements

2+ years of experience in healthcare operations, provider network management, credentialing, provider licensing, roster management, or a related field.
Proficiency in Excel required

Nice To Haves

Bachelor’s degree or equivalent experience preferred
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
Strong attention to detail with demonstrated experience managing complex datasets
Highly organized with the ability to manage multiple workflows and deadlines simultaneously
Experience with roster management or credentialing systems preferred
Strong communication skills with the ability to work cross-functionally with internal teams and external practices
Ability to identify data issues and drive resolution independently
Ability to work independently under tight deadlines

Responsibilities

Execute and maintain established roster management processes across multiple CINs, VBC programs, and markets
Validate provider roster data during provider onboarding process, ensuring completeness, accuracy, and alignment with program requirements
Maintain accurate provider data including start 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
Identify discrepancies, 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
Support VBC Network Management and Operations in working with practice administrators and internal stakeholders to collect, validate, and update provider information
Ensuring accuracy and completeness of data submitted by practices prior to ingestion into internal systems
Serve as a point of contact for roster-related questions, clarifications, and issue resolution
Recommend and implement ongoing evaluation and adjustments to roster management workflows to improve operational efficiency and scalability
Identify and implement opportunities to streamline processes and enhance data quality across systems
Track and maintain current licensure status and deliverables for MD, DO, PA, NP, and PT providers across all applicable states
Support licensure resources (internal or consultants) to monitor and 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
Maintain accurate and 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 documentation is complete and readily accessible
Develop and improve tracking systems, processes, and compliance workflows
Collaborate with legal, credentialing, HR, and operations teams to ensure seamless provider onboarding and ongoing compliance