Healthcare Administrator

Evlo AI; Chicago (IL); On-site; USD 80,000 - 120,000; Full time

Job summary

Evlo AI is seeking a Healthcare Administrator to anchor the operational backbone of a distributed healthcare organization in Illinois. You will own regulatory compliance (HIPAA, CMS, state licensing), provider credentialing, payer contracts, and daily facility administration to ensure secure, efficient patient access.

Collaborate with clinical leadership to improve staffing, revenue cycle performance, and implement EHR workflows (Epic/Athenahealth).

Qualifications

• 3–6 years of healthcare administration experience in provider orgs, health systems, or health tech.
• Working knowledge of HIPAA, CMS regulations, and state licensure requirements.
• Familiarity with revenue cycle management—coding, claims, denials, and payer workflows.
• Experience with EHR and practice management platforms (Epic, Athenahealth, eClinicalWorks, or similar).
• Bachelor's degree in healthcare administration, business, or related field (MHA or MBA preferred).
• Strong analytical skills: building reports in Excel, SQL, or BI tools.
• Bonus: FACHE, CMPE, or CHFP; telehealth or multi-state licensure experience.

Responsibilities

• Own HIPAA compliance programs, including risk assessments and breach response planning.
• Manage provider credentialing and payer enrollment cycles to keep revenue flowing.
• Coordinate payer contract administration—renewals, fee schedule reviews, and dispute resolution.
• Oversee budgeting and financial operations, including KPI tracking and variance reporting.
• Build and maintain workflows in EHR/PM systems (Epic, Athenahealth, etc.).
• Serve as the point of contact for auditors and regulatory bodies and drive remediation of findings.
• Partner with clinical leadership to optimize staffing and patient access metrics.

Skills

HIPAA & CMS knowledge

Regulatory compliance

Revenue cycle management

Data analysis

EHR/PM systems experience

Credentialing/credentialing workflows

Auditing & remediation

Communication & cross-team alignment

Education

Bachelor's in healthcare administration or related field

MHA or MBA preferred

Tools

Excel

SQL

BI tools

Job description

About The Role

The Healthcare Administrator owns the operational backbone of a distributed healthcare organization: regulatory compliance (HIPAA, CMS, state licensing), provider credentialing, payer contracts, and day-to-day facility administration.

About The Role

The Healthcare Administrator owns the operational backbone of a distributed healthcare organization: regulatory compliance (HIPAA, CMS, state licensing), provider credentialing, payer contracts, and day-to-day facility administration.
The role matters because healthcare operations fail without rigor — missed credentialing deadlines stall revenue, compliance gaps create audit exposure, and inefficient workflows directly affect patient access and care delivery.

Key Responsibilities

• Own HIPAA compliance programs, including risk assessments, policy documentation, staff training, and breach response protocols
• Manage provider credentialing and payer enrollment cycles in CAQH, ensuring credentials stay current and revenue is not disrupted
• Coordinate payer contract administration — renewals, fee schedule reviews, and dispute resolution with payers
• Oversee budgeting and financial operations, including revenue cycle KPIs, denial management trends, and monthly variance reporting
• Build and maintain operational workflows in EHR and practice management systems (Epic, Athenahealth, or equivalent), including scheduling, billing, and reporting configurations
• Serve as the point of contact for auditors, licensure boards, and regulatory bodies; prepare documentation and drive remediation of findings
• Partner with clinical leadership to improve staffing models, patient access metrics, and service-line operational performance

What We Are Looking For

• 3-6 years of healthcare administration experience in provider organizations, health systems, or healthcare technology companies
• Working knowledge of HIPAA, CMS regulations, and state licensure requirements; hands-on experience with compliance audits
• Familiarity with revenue cycle management — coding, claims, denials, and payer reimbursement workflows
• Experience with EHR and practice management platforms (Epic, Athenahealth, eClinicalWorks, or similar)
• Bachelor's degree in healthcare administration, business, or a related field (MHA or MBA preferred)
• Strong analytical skills: comfortable building reports in Excel, SQL, or BI tools and translating data into operational decisions
• Bonus: Certification such as FACHE, CMPE, or CHFP; experience supporting telehealth operations or multi-state licensure management