Provider Operations Manager

New

Skills

CMS Guidelines Compliance Management Cross-functional Leadership Data Analysis NCQA Standards Process Mapping Project Management Provider Operations SQL Workflow Design

We are seeking a Manager for Provider Process Design to lead cross-functional efforts aimed at improving provider operations. This role involves defining requirements, mapping processes, and assessing effectiveness while owning end-to-end programs from design to implementation.

Key Responsibilities
  • Lead cross-functional initiatives to enhance provider operations.
  • Define requirements and map processes to assess operational effectiveness.
  • Own end-to-end programs from design through to implementation.
  • Guide operational frameworks and best practices for efficiency.
  • Partner with leadership to drive core operational improvements.
  • Ensure compliance with applicable laws and regulations.
Required Skills & Qualifications
  • 4+ years of work experience in provider operations within a payer setting.
  • Strong understanding of NCQA, CMS, and NUCC requirements.
  • 3+ years of experience using data software such as SQL and other analytics tools.
  • 3+ years of experience in end-to-end project management.
  • 3+ years of experience designing and improving workflows and procedures.
  • 3+ years of cross-functional program ownership with vendors and internal teams.

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Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

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