Source Job

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Operations Management Healthcare Operations Team Leadership Credentialing

19 jobs similar to Director of Provider Operations

Jobs ranked by similarity.

$55,890–$73,355/yr
US Unlimited PTO

  • Hire and manage a team of Oscar colleagues with direct responsibility for performance management, growth, and development.
  • Monitor operational KPIs, conduct root-cause analysis, and construct action plans to drive team performance.
  • Serve as a central communicator by leading team huddles and connecting colleagues to Oscar's mission, vision, and values.

Oscar is a health insurance company built around a full stack technology platform and a relentless focus on serving members. They started in 2012 to create a kind of health insurance company that behaves like a doctor in the family, fostering an inclusive culture where people can be their most authentic selves.

US Unlimited PTO

  • Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
  • Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
  • Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.

CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.

Global Unlimited PTO

  • Lead multiple Team Leads overseeing credentialing operations, ensuring efficiency, accuracy, and compliance.
  • Own client health KPIs, drive performance metrics, and resolve escalations to ensure SLAs are met.
  • Partner with internal teams to optimize workflows, implement process improvements, and ensure business continuity.

CertifyOS builds the data infrastructure that powers modern healthcare by automating provider licensing and credentialing. Backed by leading investors, they have a high-ownership team focused on solving real infrastructure problems for millions of patients.

US Unlimited PTO

  • Lead end-to-end Tier 1 and Tier 2 contact center operations across Member, Broker, and Provider channels.
  • Manage a geographically distributed leadership team and build an inclusive, high-accountability remote culture.
  • Drive performance frameworks, workforce management, and technology strategy to scale service operations.

Oscar is a health insurance company built around a full stack technology platform and a relentless focus on serving members. Oscar fosters an inclusive, high-accountability remote culture and is an equal opportunity employer.

US 18w maternity 16w paternity

  • Define and drive the provider experience strategy to help providers build thriving, sustainable practices within the networks.
  • Lead provider support operations, improving speed, quality, and effectiveness while expanding self-service and AI-enabled support.
  • Build scalable programs that strengthen provider engagement, retention, and performance across the organization.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. The AI-native platform reaches more than 170 million people worldwide through leading employers, health plans, and partners, and the culture values human judgment and AI fluency.

US

  • End-to-end credentialing and payer enrollment for multi-state providers across commercial and Medicaid plans.
  • Vendor governance and SLA performance management to ensure timely provider onboarding.
  • Delegated credentialing and audit readiness, including NCQA and MCO compliance.

Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027.

$140,000–$160,000/yr
US 2w PTO

  • Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
  • Manage vendor relationships and resolve enrollment-related revenue cycle issues.
  • Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.

Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.

$60,000–$80,000/yr
US

  • Own daily execution of the chase queue, monitoring retrieval rates and AID ownership across roughly one million annual chases.
  • Oversee AI-enabled voice agent performance and adjust workflows to improve retrieval yield while reducing provider abrasion.
  • Manage staffing models, capacity forecasts, and serve as the operational point of contact for the customer retrieval relationship.

Reveleer provides a unified platform for risk adjustment, quality improvement, clinical intelligence, and member management, helping health plans and provider organizations navigate value-based care. The company is trusted by over 80 customer organizations nationwide and combines regulatory expertise with human-in-the-loop AI to support documentation integrity and operational readiness.

$65,000–$70,000/yr
US

  • Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
  • Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
  • Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.

Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.

$87,188–$114,434/yr
US Unlimited PTO

  • Leads cross-collaboration on problem definition, acute error remediation, and root cause solution development
  • Utilizes data to drive business decisions and impact cross-functional strategy
  • Develops trusting relationships with internal and external stakeholders through effective communication and collaboration

Oscar is a health insurance company built around a full-stack technology platform, focused on serving its members. We started in 2012 to create a better health insurance experience, and we value authenticity, belonging, and support.

Global

  • Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
  • Accurately input, maintain, and update provider data across credentialing databases and internal systems.
  • Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.

Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.

$80,000–$93,000/yr
US Unlimited PTO

  • Partner with Customer Success to deliver measurable 340B outcomes for a portfolio of clients.
  • Lead implementations, manage timelines, and ensure consistent execution across client workflows.
  • Analyze data to surface trends, optimize referral capture, and drive client performance.

NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support. It is a fast-growing, mission-driven company that values ownership, collaboration, integrity, and service.

$89,600–$141,500/yr
US

  • Lead daily Customer Care operations and oversee Team Leaders to meet SLAs and ensure positive experiences.
  • Hire, coach, and manage remote teams; analyze data to improve processes and workforce alignment.
  • Collaborate with Clinical Operations and Client Account Management on prior auth calls and escalations.

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. We power benefits plans for millions of Americans using a secure Unified Claims Processing platform and AI-driven care delivery.

US Unlimited PTO

  • Lead Data Operations teams to drive operational excellence and improve cross-functional processes.
  • Manage teams responsible for ingesting, processing, and delivering files, setting clear standards and measurements.
  • Collaborate with cross-functional teams to identify business requirements for client implementation and product development.

Personify Health provides a personalized health platform for employers, health plans, and health systems. The company fosters a mission-driven culture where diverse perspectives drive real impact on people's health.

US Unlimited PTO 16w maternity 8w paternity

  • Support the AVP of Client Success - Health Plans in operationalizing a large strategic health plan partnership.
  • Coordinate reporting, renewals, and lifecycle operations across multiple lines of business and employer groups.
  • Drive cross-functional coordination and process improvements to ensure consistent execution.

Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a passionate, collaborative team, Twin Health is scaling rapidly across the U.S. and globally.

US

  • Lead end-to-end payer enrollment operations for a large enterprise client, standing up teams and workflows from day one.
  • Manage delivery against SLAs, run performance reviews, and own the client relationship and escalations.
  • Drive automation and process improvements, own account economics, and scale to a portfolio of enterprise clients.

Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance for healthcare organizations. They are a fast-growing healthcare technology company backed by $130M in funding and recognized as a best place to work, on a mission to transform healthcare at scale.

$120,000–$140,000/yr
US

  • Design and operationalize infrastructure for new markets and service lines, including vendor setup, tooling, and workflows.
  • Translate care model standards into operational workflows and support go-live stabilization.
  • Drive improvements across care delivery workflows, enrollment operations, and cross-team coordination.

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by notable investors and led by CEO Dr. Justin Bekelman, with a team of oncology and value-based care leaders.

$53,100–$72,500/yr
US

  • Manage provider data across health plans, including demographics, reimbursement rates, contracts, and key operational information.
  • Coordinate provider audits, credentialing activities, service and relationship processes, and contract management systems.
  • Oversee daily priorities for administrative teams and external vendors, using data analysis to improve provider network operations.

This healthcare organization supports provider network operations across health plans. They offer a collaborative, deadline-driven environment with a focus on independent work and analytical skills.

US Unlimited PTO

  • Serve as primary operational contact for providers, troubleshooting EHR and scheduling platform issues.
  • Coordinate provider onboarding, offboarding, and documentation workflows for efficient clinical operations.
  • Manage month-end close reporting, track outstanding notes, and escalate clinical or billing issues to appropriate teams.

Marvin Behavioral Health is a healthcare company providing behavioral health services through a remote care model. The company values diversity and inclusion and supports its team with benefits such as unlimited PTO and equity.