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Provider Operations Lead

Own the end-to-end provider lifecycle—sourcing, onboarding, credential checks, activation, and ongoing quality. You'll build AI-assisted playbooks that lift responsiveness, accuracy, and trust while protecting privacy and regulatory boundaries.

Hybrid (Austin, TX) or Remote (US)
Full-time
Competitive salary + equity
AI-firstProvider QualityComplianceAI OpsOperationsLeadershipRemote

Role overview

Ops scope

Provider pipeline health from prospect → onboarding → activation → quality → recovery; US focus with global collaboration.

Quality & trust

Set the bar for profile accuracy, responsiveness, verified reviews, and safety flags; drive continuous QA sampling.

Compliance

Operationalize HIPAA boundaries, CPOM sensitivities, identity & credential checks, and incident playbooks.

AI-assisted ops

Deploy AI for triage, classification, de-duplication, and proactive nudges—measured with offline evals and human review.

Leadership

Coach a small team; partner with Product, Eng, Data, and Legal; write crisp SOPs and postmortems.

What you'll lead

Onboarding: Credential packet completeness, identity verification, and profile readiness SLAs.
Provider quality: Data accuracy checks, review integrity, ServiceScore™ signal hygiene.
Responsiveness: SLAs and nudges that raise first-response and win-rate versus inquiries.
Issue management: Escalation taxonomy, root-cause analysis, corrective action plans.
AI ops: Prompt/eval sets for classification, routing, de-dup; periodic audits of model drift.

AI-ops framework

Triage & routing

LLM-assisted intent detection, specialty tagging, geo validation.

Auto-route orthodontics to verified providers within 25mi; flag out-of-scope requests.

Quality automation

Profile diffing, duplicate detection, content policy checks.

Detect stock images or unverifiable claims; request evidence via templated flows.

Safety guardrails

Prompt injection resistance, PHI redaction, allow-listed endpoints.

Block free-text storing PHI; escalate edge cases to human review.

Measurement

Offline eval sets, cost/latency dashboards, periodic red-team.

Monthly audit pass-rate ≥ 97%; rollback criteria defined.

Responsible AI

Use retrieval of vetted content and human-in-the-loop for sensitive actions. Never provide medical advice.

Playbooks & compliance

Operational playbooks

  • Onboarding checklist (ID, credentials, specialties, pricing, media rights).
  • Quality sampling cadence (AQL), audit trail, corrective actions.
  • Escalation matrix for safety/complaints; communication templates.

Compliance & risk

  • HIPAA boundary (no PHI to non-approved endpoints) and CPOM awareness.
  • BAA/vendor checks for any third-party handling provider or patient data.
  • Records retention & privacy notices aligned with jurisdictional rules.

Success metrics

Activation rate

% of onboarded providers who reach "bookable" within 14 days.

No drop in data accuracy or policy adherence.

First response SLA

% inquiries answered within target window by specialty.

Maintain satisfaction; no templated spam responses.

Profile quality score

Weighted completeness + evidence + recency + review integrity.

Audit false-positive rate stays ≤ 3%.

Issue resolution time

Average time from ticket creation to verified resolution.

Recurrence rate declines; root-cause tracked.

AI-ops audit pass rate

% sampled AI decisions matching gold labels.

No PHI egress; latency/cost within SLOs.

Requirements

Must-have

  • 5+ years in provider/vendor operations, marketplace ops, or network management.
  • Hands-on with SOPs, SLAs, QA sampling, and incident/escalation management.
  • Working knowledge of US healthcare basics (HIPAA boundary, credentialing, CPOM sensitivity).
  • Data/ops literacy: funnels, cohorts, basic SQL or spreadsheets; comfort with dashboards.
  • Clear written communication; experience coaching small ops teams.

Nice-to-have

  • Experience with AI-assisted operations (classification, routing, QA) and evaluation basics.
  • Healthcare marketplace or multi-sided platform background.
  • Familiarity with Zendesk/Intercom/CRM, workflow tools, or light scripting/automation.

Hiring process

1) Apply

Resume/CV + short note on an ops system you built (SOP/QA/automation) and the metric it moved.

2–5 business days

2) Screen

30 min on ops judgment, SLAs, and AI-ops exposure.

~1 week

3) Deep dive

Case walk-through on provider lifecycle and quality; writing sample (SOP/executive brief).

~1 week

4) Practical

Time-boxed take-home or prior work review incl. a light AI routing/QA eval task.

3–7 days

5) Panel

Cross-functional interviews with Product/Eng/Legal; safety & compliance scenarios.

~1 week

6) Offer

Comp band, benefits, start date. Background check post-offer where lawful.

48–72 hours

Accommodation requests: email care@clinicbooking.com with subject "Interview Accommodation".

Apply

Email your applicationwith your resume/CV and one example of an ops playbook or SLA program you implemented with measurable results. If available, include a brief QA sampling plan or an AI-ops audit you ran.

Prefer an ATS? Use the application form if available.

Ready to Apply?

Send your resume and a brief note about your provider operations experience to get started.

Apply Now