Provider Network Operations Director

Operational Strategies:

• Develop and implement operational strategies aligned with organizational goals.
• Ensure compliance with accreditation standards and contractual requirements.
• Lead provider enrollment, credentialing, and contracting.

Provider Network Management:

• Oversee provider data management and network adequacy reporting.
• Collaborate with cross-functional teams to assess service capacity.
• Facilitate provider dispute resolution.

Leadership and Compliance:

• Provide leadership and mentorship to the provider network operations team.
• Ensure compliance with state, federal, and accreditation standards.
• Manage stakeholders and facilitate collaboration.