Senior Network Operations Manager, Specialty Care

6+ years of experience in operations, provider or network management, consulting, or healthcare delivery systems. 4+ years working in healthcare, preferably in a provider network, payor operations, healthcare administration or clinical coordination setting. Demonstrated ability to build and optimize processes in cross-functional, high-complexity environments. Strong project management and documentation skills. Analytical mindset; comfortable working with data. Attention to detail, follow-through, and ability to manage competing priorities. Strong written and verbal communication skills.

Build and maintain an internal provider vetting framework. Define and document vetting criteria and workflows. Manage and execute the provider vetting process. Collaborate with Clinical teams to design and document SOPs. Identify opportunities for workflow automation. Troubleshoot and evolve internal referral pathways. Track and analyze key metrics for process improvements. Forecast provider network needs based on demand. Identify gaps in provider capacity and prioritize vetting. Support design of scalable systems for network growth.