Manager, Provider Operations - Provider Data
New
J
JobgetherHealthcare provider data
A nationwide remote work opportunity within the United States.Full-TimeManager
SalaryBase salary range of $73,000–$115,000
Apply NowOpens the employer's application page
Job Details
- Experience
- 3–5+ years of relevant experience
- Required Skills
- Project ManagementSQLStakeholder management
Requirements
- Bachelor’s degree.
- 3–5+ years of relevant experience in healthcare operations, provider data, provider directories, credentialing, claims, network operations, data quality, or a related field.
- Experience managing operational workflows involving provider information, record validation, data quality, research, verification, or issue remediation.
- Ability to design, document, implement, and scale repeatable operational processes with measurable improvements.
- Analytical ability to investigate data discrepancies, identify patterns and anomalies, determine root causes, and translate findings into operational actions.
- Experience developing or maintaining dashboards, reports, and monitoring tools for performance, operational risks, and data quality outcomes.
- Experience partnering with product and engineering teams to define requirements, test enhancements, troubleshoot issues, and improve operational systems and tools.
- Project management, organizational, and communication skills, including managing competing priorities and collaborating with offshore teams and cross-functional partners.
- Ability to work independently in a fast-paced, metrics-driven environment with ambiguity and changing priorities.
- Preferred: experience managing or scaling offshore teams, external vendors, or shared-services operations.
- Preferred: exposure to artificial intelligence, agentic workflows, machine learning, or automation technologies.
- Preferred: SQL proficiency or equivalent ability to query, join, investigate, and validate datasets.
- Preferred: familiarity with provider directory requirements, CMS Medicare Advantage directory accuracy expectations, or other healthcare data, network, and regulatory requirements.
Responsibilities
- Improve the accuracy, completeness, timeliness, and scalability of provider and facility data operations across onboarding, configuration, maintenance, and verification.
- Monitor offshore teams and automated solutions for quality, productivity, capacity, and recurring issues.
- Develop and maintain dashboards, reports, and monitoring tools for operational performance and data quality.
- Collaborate with product and engineering teams to define requirements, test features, and improve verification tools and workflows.
- Help design, implement, and monitor AI agents and other automation solutions for provider data processes.
- Investigate recurring data quality issues and recommend process, tooling, or upstream improvements.
- Partner with claims teams and internal data stakeholders on analyses of the operational and business impact of provider data issues.
- Manage multiple initiatives, set structure and priorities, and translate operational insights into actionable plans.
- Build working relationships with internal teams, offshore partners, and other stakeholders to align priorities and resolve operational challenges.
View Full Description & ApplyYou'll be redirected to the employer's site
