Virta Health is on a mission to transform type 2 diabetes and weight-loss care. Current treatment approaches aren’t working—over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse diabetes in 100 million people.
As a Clinical Enablement Associate at Virta, you will play a crucial role in ensuring our healthcare providers are compliant with all regulatory requirements, which is essential for delivering our innovative diabetes reversal program. You will collaborate with internal teams and third-party vendors to streamline processes and ensure compliance across all 50 states. This position offers the opportunity to make a significant impact on the efficiency and success of our operations, contributing directly to our mission of reversing diabetes for millions of people. Join us in this vital role and help transform healthcare delivery.
Responsibilities
Ensure compliance with all healthcare regulations, managing credentialing with health plans and licensing with states to maintain provider readiness.
Oversee the maintenance of internal data systems to ensure accurate and up-to-date information on provider credentials, licenses, and supervising provider documentation.
Act as the primary contact for third-party vendors, ensuring timely submission and follow-up on compliance related tasks.
Initiate and implement process improvements to enhance efficiency and compliance in all clinical enablement activities.
Work closely with billing and legal teams to ensure proper credentialing and licensing for accurate billing and compliance. Facilitate smooth operational workflow between teams.
Leverage data-driven decision-making by monitoring and reporting on financial and operational KPIs.
Participate in meetings, support high-priority projects, and collaborate with the clinical enablement team to achieve overall success.
90 Day Plan
Within your first 90 days at Virta, we expect you will do the following:
Gain a comprehensive understanding of Virta's compliance processes, including workflows, systems (CAQH, Medallion), and regulatory requirements.
Establish strong working relationships with health plans, third-party vendors (like Medallion), and internal teams such as billing, legal, and clinical enablement.
Assess current compliance processes, identify areas for improvement, and begin implementing enhancements to increase efficiency and compliance.
Familiarize yourself with all relevant data repositories and reporting tools, and start leveraging data to drive decision-making and process improvements.
Contribute to high-priority projects, ensuring timely execution and supporting the overall success of the clinical enablement team.
Must-Haves
Strong organizational skills with a focus on accuracy and thoroughness
Excellent written and verbal communication skills for interacting with health plans, vendors, and internal teams.
Experience in healthcare operations
Ability to use data and analytics to drive decision-making and improve processes.
Flexibility in a high-speed environment, with strong problem-solving skills and the ability to implement strategic solutions.
Nice-to-Haves
Previous experience in a telehealth or digital health company, understanding virtual healthcare dynamics
Proficiency with advanced data analytics tools (e.g., Looker, Tableau) to generate insights and drive process improvements.
Understanding of healthcare regulations related to credentialing, licensing, and compliance to enhance operational effectiveness.
Values-driven culture
Virta’s company values drive our culture, so you’ll do well if:
You put people first and take care of yourself, your peers, and our patients equally
You have a strong sense of ownership and take initiative while empowering others to do the same
You prioritize positive impact over busy work
You have no ego and understand that everyone has something to bring to the table regardless of experience
You appreciate transparency and promote trust and empowerment through open access of information
You are evidence-based and prioritize data and science over seniority or dogma
You take risks and rapidly iterate
Is this role not quite what you're looking for? Join our Talent Community and follow us on Linkedin to stay connected!
As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential. Security and privacy training will be provided.
Virta has a location based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $55,918- $65,786. Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers.
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