Director of Provider Operations

Job Summary

To support the growth of provider operations, the remote Director of Provider Operations will build, scale, and optimize provider data management, contracting, and credentialing processes while leading a high-performing team and collaborating with cross-functional partners.

Key responsibilities

• Provide strategic leadership and operational oversight for the provider data lifecycle, ensuring timely execution of credentialing and contract loading
• Architect and implement industry-standard processes and data models to enhance scalability and operational efficiency
• Identify automation opportunities and drive compliance with regulatory mandates while leading ad-hoc initiatives as needed

Required qualifications

• Bachelor's degree or 5+ years of operating experience
• 10+ years in operations, health insurance, data analysis, or consulting
• 5+ years of experience in building and developing operational teams
• 5+ years of experience with network operations, provider data management, and contracting processes
• 5+ years of experience using data to influence business decisions and manage large-scale initiatives