VBC Operations Specialist

GENERAL STATEMENT OF DUTIES  

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. 

ESSENTIAL FUNCTIONS 

Roster Management & Network Operations 

• 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 

Practice Engagement & Data Validation 

• 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 

Workflow Optimization 

• 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 

Provider Licensure Process Management  

• 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 

EDUCATION 

• Bachelor’s degree or equivalent experience preferred 

EXPERIENCE 

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

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 with demonstrated experience managing complex datasets 

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

• Proficiency in Excel required; experience with roster management or credentialing systems preferred 

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

ABILITIES 

• Ability to identify data issues and drive resolution independently 

• Ability to work independently under tight deadlines 

ENVIRONMENTAL WORKING CONDITIONS 

• Normal office environment or remote. 

• Some travel as needed for additional markets. 

PHYSICAL/MENTAL DEMANDS 

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

• Some bending and stretching are required.  

• Manual dexterity using a calculator and computer keyboard. 

ORGANIZATIONAL REQUIREMENTS 

• HOPCo Mission, 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.