Healthcare Administrator

Evlo AI; Seattle (WA); On-site; USD 85,000 - 110,000; Full time

Job summary

Evlo AI in Seattle seeks a Healthcare Administrator to align operational workflows with regulatory and business goals, coordinating payer, provider, patient, and internal teams across EHR, claims, CRM, and compliance repositories.

You will turn healthcare requirements into repeatable processes, monitor service levels, and partner with product, engineering, finance, and clinical operations to resolve issues, ensuring accurate workflows and audit readiness.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 3–6 years of healthcare administration or related operations experience.
• Working knowledge of US healthcare workflows (eligibility, prior authorization, claims).
• Experience with EHR, practice-management, claims, CRM, or healthcare operations platforms.
• Strong analytical and process-design skills; ability to build operational reports.

Responsibilities

• Own and improve administrative workflows for onboarding, eligibility verification, referrals, authorizations, billing support, and patient communications.
• Maintain records across EHR, CRM, claims, scheduling, and document-management systems; define data-quality checks.
• Monitor KPIs such as authorization turnaround time, claim error rates, enrollment status, and service-level adherence.
• Coordinate HIPAA, CMS, payer policies, and state regulatory compliance activities.
• Lead cross-functional projects from requirements through rollout; document root causes and fixes.
• Prepare dashboards, SOPs, audit materials, and leadership updates using Excel, Google Workspace, Jira, Salesforce, Tableau.

Skills

Healthcare administration

US healthcare workflows

EHR/CRM/claims

Analytical skills

Project management

Education

Bachelor's degree in healthcare administration, health information management, business, public health, or a related field

Tools

Excel

Google Workspace

Jira

Salesforce

Tableau

Job description

About The Role

The Healthcare Administrator manages the operational, regulatory, and administrative workflows that support a technology-enabled healthcare business. The role coordinates payer, provider, patient, and internal operations across systems such as EHR platforms, claims tools, CRM software, and compliance documentation repositories.

About The Role

The Healthcare Administrator manages the operational, regulatory, and administrative workflows that support a technology-enabled healthcare business. The role coordinates payer, provider, patient, and internal operations across systems such as EHR platforms, claims tools, CRM software, and compliance documentation repositories. This role matters because accurate workflows and disciplined oversight directly affect patient access, claims performance, audit readiness, and provider satisfaction. The administrator will turn healthcare requirements into repeatable processes, monitor service levels, and partner with product, engineering, finance, and clinical operations teams to resolve operational issues.

Key Responsibilities

• Own and improve administrative workflows for provider onboarding, eligibility verification, referrals, authorizations, billing support, and patient communications
• Maintain accurate records across EHR, CRM, claims, scheduling, and document-management systems; define data-quality checks and escalation procedures
• Monitor operational KPIs such as authorization turnaround time, claim error rates, enrollment status, service-level adherence, and unresolved work queues
• Coordinate compliance activities related to HIPAA, CMS requirements, payer policies, state regulations, audits, and internal control documentation
• Manage cross-functional projects involving healthcare operations, systems implementations, workflow automation, and process changes from requirements through rolloutInvestigate operational defects and recurring exceptions, partnering with product and engineering teams to document root causes and prioritize fixes
• Prepare dashboards, SOPs, audit materials, and leadership updates using tools such as Excel, Google Workspace, Jira, Salesforce, Tableau, or comparable platforms

What We Are Looking For

• 3-6 years of experience in healthcare administration, provider operations, payer operations, medical group administration, or healthcare technology operations
• Working knowledge of US healthcare workflows, including eligibility, prior authorization, referrals, claims, provider enrollment, and HIPAA privacy and security requirements
• Experience administering or supporting EHR, practice-management, claims, CRM, ticketing, or healthcare operations platforms
• Strong analytical and process-design skills, with the ability to build operational reports, identify trends, and improve data quality
• Demonstrated project-management experience coordinating stakeholders, documenting requirements, managing timelines, and delivering process improvements
• Bachelor's degree in healthcare administration, health information management, business, public health, or a related field; equivalent relevant experience may be considered
• Bonus: Experience with HL7 or FHIR workflows, Medicare or Medicaid operations, SOC 2 or HITRUST controls, SQL or BI reporting, and healthcare implementation projects