Senior Director – Provider Operations & Data Management

Remote • Posted 4 hours ago • Updated 4 hours ago
Contract W2
6 Months
No Travel Required
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Senior Director – Provider Operations & Data Management
  • healthcare payer
  • Provider Core Services
  • provider operations
  • Healthcare operations transformation

Summary

Job Title: Senior Director – Provider Operations & Data Management

Location: Remote
Job Type: Contract to hire

Job Description:

We are seeking a senior healthcare payer operations leader to oversee Provider Core Services, provider data management, and provider operations for a large national healthcare organization. The ideal candidate will have 15+ years of healthcare payer experience and a strong background in provider data, provider network operations, credentialing, contracting, claims, and operational transformation.

Key Responsibilities:

  • Lead day-to-day Provider Core Services and provider operations.

  • Drive provider data accuracy, governance, quality, and operational improvements.

  • Oversee provider credentialing, contracting, onboarding, and lifecycle processes.

  • Partner with Provider Network leadership, Plan Presidents, executives, and business stakeholders.

  • Identify and resolve operational issues impacting providers and claims.

  • Establish KPIs, SLAs, governance, and operational accountability.

  • Lead large, distributed provider operations/data management teams.

  • Partner with technology teams on workflow optimization and automation.

  • Ensure regulatory compliance and operational readiness.

Required Qualifications:

  • 15+ years of healthcare payer/health insurance experience.

  • Strong expertise in Provider Operations and Provider Data Management.

  • Experience with provider credentialing and contracting.

  • Strong understanding of claims and payer operations.

  • Experience leading large healthcare operations teams.

  • Proven experience working with C-suite and senior healthcare executives.

  • Strong communication, presentation, and stakeholder management skills.

  • Experience driving large-scale operational transformation initiatives.

Preferred:

  • Provider data platforms or provider lifecycle management experience.

  • Provider network expansion experience.

  • Healthcare operations transformation experience.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91099677
  • Position Id: 9090114
  • Posted 4 hours ago
Contact the job poster
HA

Hussain Azhar

Recruiter @ Talent Groups
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