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This role involves overseeing the strategic and operational management of a healthcare provider network. The role ensures network design, credentialing, enrollment, data management, and compliance meet regulatory and accreditation standards. The position emphasizes operational excellence, strategic oversight, and effective provider relationship management.

Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

• Owns end to end operations and expansions for our provider networks in the US & Canada.
• Deeply understand and elevate Carrot’s strategic positioning within the US & Canada healthcare and provider ecosystems.
• Define and deliver on KPIs related to provider network operations response including establishing goals, methodology on measurement/tracking, and execution.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through life's memorable moments. They are trusted by multinational employers and health plans, offering localized support in over 170 countries and 25 languages.

• Own forecasting of inbound volume to Care Support, broken down by channel and request category.
• Develop and manage dynamic workforce management models to balance member and provider satisfaction, while enabling scenario analysis.
• Translate complex analytics into actionable insights to drive operational efficiency and resourcing decisions.

Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it.

• Lead a team that defines how Spring Health’s Operations organization uses data to drive performance, efficiency, and scalability.
• Serve as a strategic advisor to Operations leadership on their most critical business priorities.
• Build and govern scalable capacity planning, forecasting, and staffing models to ensure optimal alignment of resources with member and provider demand.

At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it.

Healthcare operations leader with deep expertise in quality improvement across diverse provider networks. Responsible for overseeing the performance and reliability of the organization's network infrastructure. Leads cross-functional efforts that improve provider engagement, optimize workflows, and elevate overall network performance.

Humana Inc. is committed to putting health first – for our teammates, our customers and our company through insurance and healthcare services.

• Oversee operational and clinical performance of contracted provider partners.
• Drive execution on economic, clinical, and population health strategies.
• Proactively analyze population health data to identify opportunities for improvement.

Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.

Ensure day-to-day operational reliability and drive optimal clinician performance in our 24/7 virtual Urgent Care practice. Lead a team of clinician liaisons and schedulers to ensure clinician satisfaction, productivity, engagement, and success. Partner with the Director of Practice Operations and Urgent Care Clinical Leadership to operationalize strategic growth, scale, and quality projects.

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to raise the standard of healthcare for everyone.

• Develop long-term capacity plans based on growth forecasts and seasonality.
• Oversee scheduling policies and agent preferences to balance efficiency and morale.
• Track and report key metrics related to forecast accuracy and service level.

Topstep is an engaging working environment which ranges from fully remote to hybrid, offering a culture of collaboration with cameras on during meetings.

• Lead a team to generate and post Physician and APP schedules across all sites of care, maximizing efficiency and meeting operational goals.
• Identify and execute opportunities to improve clinical quality and reduce costs through enhanced scheduling.
• Collaborate with technology and scheduling leaders to enhance tools and share best practices.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

• Lead and develop the Recruiting Operations and Coordination teams.
• Design, refine, and document end-to-end recruiting workflows that balance efficiency, quality, and scalability.
• Drive major initiatives and programs, including referrals, interview training, onboarding, and employer brand work.

Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.

• Supports & manages the implementation of market entry plans including vendor and health plan operational alignment.
• Validates operational requirements, confirms operational readiness and monitors compliance with contract requirements.
• Identifies and develops plans and SOPs for common workflows and resolves operational issues.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Own the operational infrastructure, continuously improving all workforce systems and quality standards.
• Implement and maintain scheduling systems to ensure optimal coverage across all support channels.
• Drive the creation and maintenance of support documentation, knowledge bases, and standard operating procedures.

CopilotIQ + Biofourmis is transforming in-home care with the industry's first AI-driven platform that supports individuals through every stage of their health journey. They are helping people live healthier, longer lives by bringing personalized, proactive care directly into their homes.

• Design and build foundations for 0-1 initiatives within the Operations function.
• Collaborate cross-functionally to build scalable products and processes.
• Assess data to develop strategies for accelerating progress and proactively identify areas for improvement.

Headway’s mission is to build a new mental health care system everyone can access via technology that helps people find great therapists and accepts insurance.

Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.

Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.

Reporting to the Director of Delivery Operations, you will be an executor, driving internal optimization projects prioritized by leadership to completion. Provide a high level of administrative support to executives or senior management, facilitating efficient scheduling operations. Support process improvements for Nava's Delivery Organization.

Nava is a consultancy and public benefit corporation working to make government services simple and effective.

• Own the strategic vision and execution for solutions that guide members to high-quality, cost-effective care.
• Define the roadmap for care steerage capabilities and manage the complete product lifecycle.
• Drive product development from concept through launch and optimization, ensuring on-time delivery of high-impact features.

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience.

The Head of Operations will act as a trusted partner to the CEO and leadership team, ensuring alignment across the organization, driving execution on strategic priorities, and building scalable processes that enable growth. This is a remote role based in the United States. The compensation includes a variable component and stock options.

IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care.