Senior Manager Provider Operations

Job Summary

Owning the end-to-end accuracy of provider data, the full-time Senior Manager Provider Operations will manage a hybrid onshore and offshore team, ensuring compliance with regulatory requirements while improving operational processes and data integrity in a remote work environment.

Key responsibilities

• Oversee provider data validation, verification, and compliance with CMS Medicare Advantage directory requirements
• Lead and grow a hybrid team, focusing on hiring, training, and performance management to scale operations effectively
• Define and report metrics for provider data accuracy, translating insights into actionable strategies for executive stakeholders

Required qualifications

• Bachelor's degree and a minimum of 6 years of relevant experience, including 2 years in a management role
• Experience in healthcare operations with hands-on ownership of provider data and directories
• Knowledge of regulatory environments governing provider directories and network adequacy
• Proficiency in data analysis to generate actionable insights
• Demonstrated success in building operational processes with measurable quality outcomes